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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For White Spots On Shin And Wrist

For 1.5 months I have noticed small white spots on my right shine and right inner wrist. I went to two doctors one told me it is guttate depigmentation and prescribed betamethasone cream for a month to check whether they were sprading or not. Another doctor told me it may be idiopathic guttate hypomelanosis, and not spreading type and prescribed same steroid cream for two months and cream placentex.

This problem distressing me too much.
Wed, 27 Aug 2014
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Dermatologist 's  Response
Hello,
Welcome to healthcare magic,
From your description it seems like you are having idiopathic guttate hypomelanosis. It is a very benign condition and won't become large like vitiligo or leukoderma. It will remain as a small sized white lesion. The exact cause of this is not known, long term exposure to sunlight is hypothesized as a cause and thus it may be an ageing sign. You may leave it alone . It is not contagious. Medical line of treatment is topical steroids which you had tried already with no success. If you want it to be removed, go for procedures like dermabrasion, cryo, cautery or ablative fractional laser. You should consult a dermatologist practising cosmetic dermatology for this.
Hope this helped,
Take care.
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Suggest Treatment For White Spots On Shin And Wrist

Hello, Welcome to healthcare magic, From your description it seems like you are having idiopathic guttate hypomelanosis. It is a very benign condition and won t become large like vitiligo or leukoderma. It will remain as a small sized white lesion. The exact cause of this is not known, long term exposure to sunlight is hypothesized as a cause and thus it may be an ageing sign. You may leave it alone . It is not contagious. Medical line of treatment is topical steroids which you had tried already with no success. If you want it to be removed, go for procedures like dermabrasion, cryo, cautery or ablative fractional laser. You should consult a dermatologist practising cosmetic dermatology for this. Hope this helped, Take care.