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Sudden white spots on arms, chest
Hi,

I'm a 24 year old female, i have been having some as-of-yet undiagnosed health problems for the last several months, and about two weeks ago these white spots appeared all over my arms and chest. I've never seen them before.

They are flat, and have no change in texture. They are very white and many of them seem to have a red dot, about the size of a pencil point, at their center. Most of the white spots are about 5 mm in diameter. Sometimes they are not as noticeable, but i haven't figured out a pattern as to what might cause them to fade or appear darker. I haven't had sunburn this year and always use strong sunscreen.

They don't hurt or itch, but because I have been having other health problems (persistent sore/swollen throat, extreme fatigue, joint and muscle pain esp. throughout arms, neck and hips) I just wanted to see if there was a dermatological explanation or if the spots could be connected to some kind of illness and my other symptoms.
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help please
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Whith the sudden appearence of these hypopigmented macules, and your history of fatigue, you should get your Thyroid profile ,and CBC to rule out deficiency especially B-12.
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they did just discover nodules on my thyroid, i didnt realize thyroid stuff could mess up skin - thank you!
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Oh yes, I did go through your other symptoms like depression which fairly well clinch the diagnosis.
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563773 tn?1374250139
Hello,
Your aches and joint pains can be due to thyroid issues but for these white spots, the possibilities of pityriasis versicolor and idiopathic guttate hypomelanosis need to be ruled out. Thyroid diseases will cause dry, itchy skin but unlikely to cause hypopigmented spots. Pityriasis versicolor is caused by an overgrowth of a yeast fungus and are found mainly on sun exposed areas. To confirm the diagnosis you need to get it examined from a dermatologist.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.



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The dermatologist is right in that hypothyrodism  does not perse cause depigmentation, but then the association of hypothyroidism,vitiligo, and pernicious anemia as a part of autoimmune disorder is emphasized, more as an association than a direct cause. Indeed idopathic guttate hypomelanosis is a possiblity here.
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