Question: Hello Doctor,

I have been having white spots on my face since past few weeks. Went to a dermatologist other day, and he told me it was Pityriasis Alba, and prescribed a hydrocortisone ointment - Daktacort.

I have had this same issue around 7-8 months, but the spots disappeared after a while without any medication. Now, again, it's back, spreading each day on my face.

Please could you tell me why this occurs and the best solution to it. By the way, I suffer from pituitary adenoma namely Prolactinoma, and have very low thyroid and cortisol levels. Moreover, I have stopped thyroid and cortisol medications due to excessive weight gain. Could this be a reason for it?
Age : 28, height : 5ft, 6ins, weight : 80kgs
Please help! Desperate for an answer

Hello Dr Kumaravel,

Thanks for your answer, and the answers to your queries are as follows:

1. The pituitary adenoma is still functional.
2. It is a macro-adenoma. Not sure of the size
3. All hormone levels are very low, except for Prolactin - which is extremely high

I was prescribed Cabergoline (twice a week), Hydrocortisone (daily) and Thyroid (daily) medicines. I was also given testosterone injection once a month. But I stopped all medications because of my excessive weight gain which did not reduce much after exercise and diet control. The weight gain was around the waist, buttocks and on the face (it's become a round face)

But now, I have lost weight a bit, and seem to be getting back in shape slowly. But I seem to be feeling the sideeffects of not having medications now, which are
1) Excessive sleepiness, difficultly in waking up:
2) Drowsiness
3) Lethargy and feeling weak
4) Forgetfulness
5) Frequent headaches
6) Difficulty in concentration
7) Chest getting enlarged slowly - due to prolactin

I find it extremely depressing with my weight gain, which is why I stopped medication. I do not have facial hair growth, and have gynaecomastia, short stature - 5ft 6 (my sister is taller than me) etc

Please help!