Dear Dr,
Thank you for the prompt reply. Those white spots looks more like Fordyce spots after i google some of the pictures. I went to another dermatologist earlier and she told me it is Fordyce spots, no cure and i have to live with it.
Later on i consulted another dermatologist and she has given me this Protopic ointment 0.1%. May i know whether the Protopic ointment 0.1% would do any harm or worsen the condition of this Fordyce spots? I found more on two edges of my lower lips and a small cluster at the center too. Should i stop using the oinment? Cause i was instructed to apply it twice a day but i only apply it at night because i affraid i might accidentally ingested some of the ointment which might cause side effect like cancer and my next appointment is 6 weeks later...
Thank you very much
Hello,
From the symptoms it looks like Fordyce spots. They are small yellowish-white granules on the inner surface and border of the lips. Vitiligo presents as white patches and not bumps. Treatment of Fordyce spots includes CO2 laser or electro desiccation, TCA chemical peels(temporary treatment),diathermy or laser vaporization.
I would suggest you to get a second opinion from another dermatologist before starting with the treatment.
I sincerely hope that helps. Take care and please do keep me posted on how you are doing. Warm regards.