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How Would The Diagnosis Of White Patches On The Leg Of A 10-year-old Child Be Done To Rule Out Vitiligo?

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Posted on Fri, 3 Nov 2023
Question: Family History : My wife has Vitiligo since last 3 years.

We have been to beach and my 10 year old daughter played in the beach water for few hours. starting next day, we started seeing 2 patches(light colored) on her leg.

one of the doctor suggested it could be a Pre-Vitiligo.,
Can you please confirm if this is the symptom of Vitiligo (or pre-vitiligo)? if so what steps should we take so that she will not have vitiligo in her life ?
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
It looks like vitiligo but may be also fungal infection.

Detailed Answer:

Hello,

I read carefully your question and I saw the photos that you posted.

The light colored patches seem very much like vitiligo. But in order to decide diagnoses, she will need to be followed by a rheumathologist and do some tests.

I think that meanwhile you wait for the appointment of a specialist, you rule out a possible fungal infection. This is another very possible option of diagnoses, because vitiligo is it very uncommon to appear so fast. Apply Ketoconazole 2% locally, twice/day for 1-2 weeks. If improved, then it is not vitiligo.

Hope this is helpful.
Let me know if you need more clarifications.

Regards,     
Dr. Papaqako

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Klarida Papaqako (58 minutes later)
Thanks so much for the response.

Do you think this can also cause because of Vitmain D deficiency ?

Does taking the oral multi-vitamin reduce the chances of spreading, if it is the Vitiligo ?

Thanks
XXXX
doctor
Answered by Dr. Klarida Papaqako (20 hours later)
Brief Answer:
Vit D is not associated with Vitiligo and also does not cause those lesions

Detailed Answer:
Hello,

Vit D deficiency does not cause skin lesions like that but gives more bone development problems.

If it is the vitiligo, there are several therapies that can be used, like local creams, photo therapy, oral steroids, ect. But again, the local rheumathologist will follow you step by step once the diagnoses is decided.

Let me know if you have other questions or concerns.

Regards,
Dr. Papaqako
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1803 Questions

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How Would The Diagnosis Of White Patches On The Leg Of A 10-year-old Child Be Done To Rule Out Vitiligo?

Brief Answer: It looks like vitiligo but may be also fungal infection. Detailed Answer: Hello, I read carefully your question and I saw the photos that you posted. The light colored patches seem very much like vitiligo. But in order to decide diagnoses, she will need to be followed by a rheumathologist and do some tests. I think that meanwhile you wait for the appointment of a specialist, you rule out a possible fungal infection. This is another very possible option of diagnoses, because vitiligo is it very uncommon to appear so fast. Apply Ketoconazole 2% locally, twice/day for 1-2 weeks. If improved, then it is not vitiligo. Hope this is helpful. Let me know if you need more clarifications. Regards, Dr. Papaqako