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Is This Normal Or Need Some Medications Has White Patch ?

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Posted on Fri, 30 Aug 2024
Question: My Son is 6 months old and has white patch on the chin. Sometimes he also get's some red spots on face which usually get's reduced and leave white spots. Is this normal or need some medications.
doctor
Answered by Dr. Muhammed Aslam TK (13 hours later)
Brief Answer:
Can be skin allergy

Detailed Answer:
Hello,
Thanks for writing to us
I understand your concern.

From history and the image, it looks like a condition called " PITYRIASIS ALBA", a milder form of skin allergy. This is the most common cause of white patches in infants. The condition worsens with dry skin and during winter. This is not a serious disease and most cases disappear its own in few months- years.

These measures can help to minimise the lesions:

1. Avoid using soap over the face, or use milder baby soaps gently
2. Regular application of a moisturising cream/lotion over the body 2-3 times daily, after bath. You can use DERMADEW BABY LOTION.

If this does not improve the condition after 1-2 months, kindly consult your dermatologist/pediatrician for direct assessment.

Atonide is a topical steroid and is better avoided for repeated/regular use, unless you are using under the supervision of a dermatologist/pediatrician.

I hope this answer will help
Take care
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Muhammed Aslam TK (21 minutes later)
Hi Doctor,
Thanks for your answer here.

Currently we are using TeddyBar soap which was prescribed to us in early days of consultation(let me know if you have any suggestions). Sometimes we also use himalaya baby soap.
Alternatively as you mentioned we have been using Dermadew lotion as a moisturizer once daily after bath.

It's been a couple of month and we don't see any change yet however we are hoping it would take more time considering the growth of baby(also suggested by pediatrician) and eventually it should be reduced.

Let me know if this still needs a consultation with Dermatologist.
doctor
Answered by Dr. Muhammed Aslam TK (1 hour later)
Brief Answer:
continue same

Detailed Answer:
Hello XXXXXXX
For the time being, no need of dermat consultation soon. Just increase frequency of moisturization to 2-3 times/day. XXXXXXX Bar or Sebamed baby soap- both are fine.

Lets wait for 2-3 more months(until winter over) and consult then if no improvement. Avoid using steroid cream before that.

Take care
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Muhammed Aslam TK

Pediatrician

Practicing since :2012

Answered : 2029 Questions

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Is This Normal Or Need Some Medications Has White Patch ?

Brief Answer: Can be skin allergy Detailed Answer: Hello, Thanks for writing to us I understand your concern. From history and the image, it looks like a condition called " PITYRIASIS ALBA", a milder form of skin allergy. This is the most common cause of white patches in infants. The condition worsens with dry skin and during winter. This is not a serious disease and most cases disappear its own in few months- years. These measures can help to minimise the lesions: 1. Avoid using soap over the face, or use milder baby soaps gently 2. Regular application of a moisturising cream/lotion over the body 2-3 times daily, after bath. You can use DERMADEW BABY LOTION. If this does not improve the condition after 1-2 months, kindly consult your dermatologist/pediatrician for direct assessment. Atonide is a topical steroid and is better avoided for repeated/regular use, unless you are using under the supervision of a dermatologist/pediatrician. I hope this answer will help Take care