
What Do White Spots On The Fingers Indicate?

Question: My son who is 22 years old having white spots on fingure. Please advice.
Brief Answer:
kindly upload image & provide more details
Detailed Answer:
Hello. Thank you for writing to us
kindly upload an image so that I am able to guide you better
You may upload an image at Reports Section
Or
You may mail me the image at YYYY@YYYY .
Kindly mention the subject of this mail as Attention Dr.kakkar.
Also let me know the duration since its been there?
Has it progressively increased in size?Or is it static?
Does he has similar patches elsewhere?
Any family history?
Regards
kindly upload image & provide more details
Detailed Answer:
Hello. Thank you for writing to us
kindly upload an image so that I am able to guide you better
You may upload an image at Reports Section
Or
You may mail me the image at YYYY@YYYY .
Kindly mention the subject of this mail as Attention Dr.kakkar.
Also let me know the duration since its been there?
Has it progressively increased in size?Or is it static?
Does he has similar patches elsewhere?
Any family history?
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Dear Dr. Kakkar,
Thanks for your immediate respose.
It has been on the middle finger of left hand for more than 8 years, recently similar spots started to appear on both the hands and face (very small spots).
I have attached the pic of the same.
Mother is also having white spots (very small, not visible directly ) on the leg and hand.
Thanks
XXXX
+91 0000
Thanks for your immediate respose.
It has been on the middle finger of left hand for more than 8 years, recently similar spots started to appear on both the hands and face (very small spots).
I have attached the pic of the same.
Mother is also having white spots (very small, not visible directly ) on the leg and hand.
Thanks
XXXX
+91 0000
Brief Answer:
Need more Images of other affected areas
Detailed Answer:
Hi.
I have reviewed the Image. I can see faintly white, ill-defined patches of hypopigmentation.
In these Images the patches seem hypopigmented unlike vitiligo patches which are totally white/ devoid of all pigment i.e de-pigmented.
This could be either an early vitiligo i.e previtiligo Or it could also be post-inflammatory hypopigmentation.
I would prefer more Images of other affected areas, if you can upload?
If I was the treating doctor I would have asked him to use a mid potent topical steroid e.g mometasone furoate 0.1% cream once daily over the patches.
Regards
Need more Images of other affected areas
Detailed Answer:
Hi.
I have reviewed the Image. I can see faintly white, ill-defined patches of hypopigmentation.
In these Images the patches seem hypopigmented unlike vitiligo patches which are totally white/ devoid of all pigment i.e de-pigmented.
This could be either an early vitiligo i.e previtiligo Or it could also be post-inflammatory hypopigmentation.
I would prefer more Images of other affected areas, if you can upload?
If I was the treating doctor I would have asked him to use a mid potent topical steroid e.g mometasone furoate 0.1% cream once daily over the patches.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Dear Dr. Kakkar,
Thanks for the update.
The spots are very small in size and very diffucult to captue in the pic. It has started from the fingure and slowing now on face (6 -7) which are not visible easily.
Do you prefer to visit dermatologist or try to use the steroid cream as suggested by you?
Regards
XXXX
Thanks for the update.
The spots are very small in size and very diffucult to captue in the pic. It has started from the fingure and slowing now on face (6 -7) which are not visible easily.
Do you prefer to visit dermatologist or try to use the steroid cream as suggested by you?
Regards
XXXX
Brief Answer:
It is important to confirm the diagnosis
Detailed Answer:
Hi.
To me these patches look more like early vitiligo.
Moreover, since new lesions have recently appeared on other areas of body, therefore, I suggest a visit to a dermatologist for a confirmatory diagnosis before trying any treatment.
If it is related to vitiligo then of course topical steroid i.e mometasone furoate 0.1% cream, is one of the treatment options.
Another topical treatment modality that is effective for treatment of vitiligo is topical tacrolimus ointment.
Regards
It is important to confirm the diagnosis
Detailed Answer:
Hi.
To me these patches look more like early vitiligo.
Moreover, since new lesions have recently appeared on other areas of body, therefore, I suggest a visit to a dermatologist for a confirmatory diagnosis before trying any treatment.
If it is related to vitiligo then of course topical steroid i.e mometasone furoate 0.1% cream, is one of the treatment options.
Another topical treatment modality that is effective for treatment of vitiligo is topical tacrolimus ointment.
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. Vinay Bhardwaj

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