Brief Answer:
Resend Pics please; Possible Pityriasis versicolor

Detailed Answer:
Hi there.
For some reason I don't seem to be able to view your snaps. Could I request you to please send it across again?
Also would appreciate a few clarifications: For how long have these white dots/spots been persisting? Are they itchy? Is there a mild furfuraceous scaling to these dots?
From your description, it appears to be a fungal infection called Pityriasis Versicolor.
I would be grateful for the clarifications & will revert asap & be in a position to give you a clearer picture.
Look forward to hearing from you again.
Dr Praveen Rodrigues MD

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Brief Answer:
Idiopathic Guttate Hypomelanosis

Detailed Answer:
Hi there.
Got them now..thanks. Have viewed them & must say have changed my diagnosis to a condition called 'Idiopathic Guttate Hypomelanoses'.
There is nothing to worry about. Some people are more predisposed to getting these white dots & occur earlier in life. They are postulated to be a degenerative cause precipitating & may have a familial predisposition.
My advice would be to wait & watch. Observe for 3-6 mths. If increasing, go to a dermatologist near you for a skin biopsy. In any case, use a sunscreen with a built in moisturiser to protect the region. I would suggest Sebamed's Hydrating moisturiser & sunscreen to help limit the damage & prevent further increase.
Also one may take a single dose of 400mg Fluconazole...if any Pityriasis Versicolor (fungal infection I alluded to in the beginning), it will get better with this single tablet.
To reiterate, Observation & Protection is the order of the day. Go for a skin biopsy after some 3 months especially if anxious to rule out any vitiligo.
Good Luck & trust I have given you a prompt, objective answer & cleared your doubts.
Wish you a clear complexion soon.
Dr Praveen Rodrigues MD

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