Wednesday, September 19, 2007

 

How to treat white spots on body?

Treating White spots on body.
Q My 18-year-old daughter has white spots on her shoulders and back and they are rather unsightly. Is there a medical term for her condition? What is the cause of these white spots? Is there any way to get rid of these spots and prevent them from developing in future?

A Tinea versicolor or pityriasis versicolor, commonly referred to as white spots, is a superficial fungal infection of the skin. It is caused by an overgrowth of the fungus Pityrosporum ovale, a type of yeast found commonly on human skin. Hence, it is not contagious.

Common symptoms include the growth of small, scaly patches of discoloured skin that are either a lighter colour (white or pink) or reddish brown. This results in small areas that are lighter than surrounding skin and do not darken under the sun. The infection, which is most common in warm, humid temperatures, usually affects the back, chest, neck or upper arms and causes mild itching.

White spots can be treated with oral or topical medications. Topical anti-fungals include tolnaftate, terbinafine or typical azoles like clotrimazole, miconazole and ketoconazole. After cleaning the affected area, a thin layer can be applied twice daily, usually for 14 days. Continuing to apply medication for another week after infection appears to have cleared may reduce the chance of recurrence. Oral prescription medications like ketoconazole, fluconazole and itraconazole are also effective for tinea versicolor.

Discolouration of skin may persist, even after successful treatment. This persistent discoloration often leads people to think that the fungus is still present long after it has been eradicated. Though it may require several months for the skin to recover, it does not lead to permanent discoloration.

White spots may recur. To prevent white spots, avoid applying oil or oily products to your skin, or wearing tight, non-ventilating clothing. Heat, excessive sweating and oily skin are thought to trigger overgrowth of fungus. If necessary, preventive treatment with medication may also be prescribed by your doctor.

TAN WEIQI, PHARMACIST, PHARMACEUTICAL SOCIETY OF SINGAPORE

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Comments:
My son is 30 month old and developed white spot in his leg. Earlier it was small but slowly it developed more. Now it is not growing. How to stop this and what are precaution need to take so that it will not come again.
 
Hi, please seek doctor advise. Thanks
 
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