White spots on face

[AKE81]

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.  Could this be a reason for it?

Please help! Desperate for an answer

-AKE81

[Lalaine0923]

Moisturizing is not enough to prevent this thing? I'm wondering because when i tried to touch it and press it, it have a red spot in the middle and it stayed until now but its not itchy.

[Dr Santos]

Hi,
How are you? Pityriasis alba is a mild form of dermatitis that clears up after a few weeks to few months. The cause is unknown  and no treatment is necessary. If the patches are red or itchy, a mild topical steroid cream can be applied for a few days while a moisturizing cream may improve the dry appearance. There are not enough studies though that show direct involvement of prolactinoma and low hormone levels. Continue the medications as prescribed. Take care and do keep us posted.