skin problem

Dear Dr

My name is Larissa and i'm 20 years old. Around 2 years ago i discovered white spots under my skin it is on my tummy and hips. Now a days i also have these white spots on my arms. I use different types of products from sporanox to Nizolar but they did not done any affects. Is it fungus or not? because according to my Dermatolagy he said that it is not fungus because he saw them uder the U.V light. so what are they because he is not sure about these spots.
I was adviced to go sunbathing but the spots look much more so is there any solution for my problem?

Thanks in advance
Larissa

[Vanessa Lacuesta]

Hi,

White spots on the skin may be due to plaque psoriasis, tinea versicolor , pityriasis alba and vitiligo. Your physician has ruled out any fungal infections. Was a microscopic evaluation of the skin scrapings done (if this is applicable)?

Tinea versicolor presents as light colored patches on the skin. They may have  light central area with mild scaling present. The patches may be slightly itchy. Pityriasis alba usually affects children and may be noted as white confluent patches on their faces and on their arms.

Vitiligo is true hypopigmentation due to the absence of melanocytes or cells responsible for skin color. I suggest you discuss the possible differential of vitiligo with your doctor. Vitiligo does not tan under sun exposure.