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What Causes White Patches On Cheeks?

Posted on Fri, 26 Dec 2014

Question: hi sir,

my 8 year old son , has light white patch on both sides of his cheeks. he is otherwise healthy. the whitish area is on both side of his cheek and more visible during the day time and light. the patch is lighter in colour than his other part of the face skin.

Pls suggest.

XXXX

Answered by Dr. Ilyas Patel (1 hour later)

Brief Answer:
Answer few queries & post the photos

Detailed Answer:
Hi,

Welcome to HCM..

Your 8 year old son has hypopigmented round patches on both cheeks. The patches are more visible in day light. And there is no other problem related to any system.

I would like to ask few questions..

- from how many days he has this problem?
- is it for the first time he has?
- any medicine taken by him?
- any cream applied?
- any skin lesions elsewhere?
- family history of any skin disease or any internal disease?
- past history of any skin skin disease or systemic disease?

Please answer above queries and do not forget to post the photos of affected parts of face of your son.

Thanks with best wishes..

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilyas Patel (3 hours later)

Sir ,

here are my answers. I have also uploaded a photo of his face. you can notice the light patch.

- from how many days he has this problem? around 6 months
- is it for the first time he has? yes. earlier we did not notice it.
- any medicine taken by him? NO
- any cream applied? NO
- any skin lesions elsewhere? NO
- family history of any skin disease or any internal disease? NO
- past history of any skin skin disease or systemic disease? NO

Answered by Dr. Ilyas Patel (3 hours later)

Brief Answer:
Pityriasis XXXXXXX most probably

Detailed Answer:
Hi,

Welcome back..

Your uploaded photo is not recieved. Still, after reading history I feel that most probably your son may be having pityriasis XXXXXXX It is a common skin condition affecting children. There may be asymptomatic round to oval hypopigmented patches on face and trunk. It is a mild form of dermatitis. Exact cause is not known.

Do not worry as the disease is harmless. And it may remain for few months to few years. It might clear by itself. So,in some cases no treatment may be needed. However, if you feel embarassing, apply moisturiser cream might on patches..that might improve the appearance.

And also you may apply mild steroid cream or pimecrolimus cream on patches for few months, there may be good response. Recurrance may be there.

Also get him tested for nutritional deficiencies like iron deficiency and calcium deficiency.

I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilyas Patel (1 hour later)

thank u Sir..

it would be of great help if you can pescribe any cream for my kid. I generally apply XXXXXXX moisturizer before going to bed in the night. but as you suggest please pescribe any cream that you feel suitable.

I shall buy it from a pharmacy.

Also , I am attcahing the photograph agian in upload reports section.

thank you

Answered by Dr. Ilyas Patel (17 hours later)

Brief Answer:
Pityriasis XXXXXXX

Detailed Answer:
Hi,

I got photo you posted. As I told you it is pityriasis XXXXXXX

I hope you got my answer.

It is a harmless condition. He might get benefit after applying moisturizing cream like elovera cream and tacrolimus ointment like tacroz 0.1% ointment. However, you may consult nearby dermatologist.

I feel you might be satisfied with my answers.

Thanks.

Dr. Ilyas Patel MD

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. Bhagyalaxmi Nalaparaju