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What Causes White Blotches During Exertion Over Trunk And Face?

Posted on Mon, 6 Jul 2015

Question: Sometimes my skin in the torso and facial areas gets white blotches when I laugh too hard or physically exert myself. I'm concerned it may be a heart condition or something similar. Any ideas?

Answered by Dr. Sandip Kabra (5 hours later)

Brief Answer:
Can not be related to heart problem.

Detailed Answer:
Hi,
Welcome to health care magic,

White blotches during exertion over trunk and face can not be related to any heart disease unless there are any symptoms of chest pain,uneasiness, vomiting, breathlessness.

So,there is no need to worry and be rested.

This white blotches could be related to dermatological issue like exercise induced urticaria which will need visual inspection by some local doctor or dermatologist in order to have a diagnosis.

Here,I would like to ask you few questions.

1) do you have any disease like diabetes or hypertension?
2) are you taking any medications?
3) do you have any family history of heart problem?
4) are this white blotches get disappear after exertion or persists for some time?

Kindly get back to me with some more information.

Regards,

Dr.sandipkabra

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sandip Kabra (8 hours later)

Thanks for the follow-up. Here are my replies to your questions: 1) I do not have diabetes or hypertension or any medical conditions of which I am aware except for likely high cholesterol. I am a bit overweight (5' 6" and 190 pounds). 2) The only medication I take is Xantac for heart-burn. I have been taking it for years and if I don't, I get terrible heart-burn. 3) My father passed away at age 59 from a heart attack. He did have diabetes, hypertension and high cholesterol. 4) The white blotches go away fairly quickly.

One other comment is that I don't that I have urticaria. I looked it up online and saw numerous photos and none of them resemble my symptoms. My blotches are small white blotches. What I saw online for urticaria were red blotches, dots and rashes.

Let me know what you think. Thanks.

Answered by Dr. Sandip Kabra (3 hours later)

Brief Answer:
White blotches needs visual inspection to diagnose.

Detailed Answer:
Hi,
Thanks for the follow-up.

It is good that you do not have DM and HTN.

For slight high cholesterol,you can reduce your weight with avoiding fatty foods.

Now,considering your family history of heart disease,I would suggest you to undergo ECG every 6 monthly to monitor the activity of heart periodically.

But at present there is no need to worry,so be rested.Your father was heart attack does not necessarily mean that you might also suffer from heart problem but periodical XXXXXXX check up is advisable.

Lastly,your white blotches must get inspected by doctor to get some clue.Without visual inspection i can not say surely on that but if they go away quickly then i don't think there is anything to bother much.

If it persists then you can take photograph of that when they appear.

Hope this will help you.

Regards,

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. Vaishalee Punj