Brief Answer: details below Detailed Answer: Hi, Thanks for writing to us. Vitiligo over lip in a child can be treated by using a steroid cream and tacrolimus ointment. depending upon the response one may add placental extract based cream like placentrex or fibroblast growth factor peptide based lotions like melgain. Sometimes the lesion respond well and resolve complemetely while sometimes response achieved might be partial. If the lesion is stable and non progressive then once the child attains adulthood, tattooing or vitiligo surgery might be done. Other white spots over face could be pityriasis versicolor or pityriasis alba or post inflammatory hypopigmentation Vitiligo can be differentated from P versicolor( fungal infection ) by wood's lamp examination. P versicolor needs antifungal creams P alba needs steroid creams. Hope this answered your query. Should there be any other doubt, please write back.

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