White sopt on the both corner of lips

[sk_84]

I found a tiny white spot on 1 of my corner of lips 2 yr back ..now i found on both of the corner with increase in size.
I felt some burning sensation also somitimes
..Plz help me whether its curable or not ? any permanent solution ???

[Bhupinder Kaur, MD]

Hello,
Topgraf contains the steroid tenovate and is the first line of treatment for vitiligo. If it is not effective then PUVA can be used. Skin grafting being a surgical procedure is kept as the last resort and ample anesthesia is given before this procedure. Also pain killers are prescribed after the procedure, so there is little pain. You should adhere to the treatment prescribed by your dermatologist and ifnone prove effective, then only go for other procedures.

I hope it helps. Take care and God bless.

[sk_84]

Hi,
   I went to one of my dermatologist , He provides me few hormone tablets and one cream topgraf to applied .I am appling it almost 15 days but is this effective ?how many days it will take minimum ?Also suggest me to if require go for a skin graft.
But grafting z painful...Is it 100% safe and curable? i m getting a lot of stress due to this ?plz suggest me ......

[Bhupinder Kaur, MD]

Hi,
Treatment options for vitiligo include steroids, psoralen photochemotherapy(PUVA),depigmentation and surgical therapy like skin grafting, micropigmentation or tattooing and autologous melanocyte transplants. However the choice of therapy depends on the number of white patches; their location, sizes, and how widespread they are and the option that is convenient to you. I would suggest  you to discuss these options with a dermatologist. I hope it helps. Take care and regards.

[sk_84]

Thanks  for the  response.
But i would like to know vitiligo is curable or not as ...frm the search i  found ther is no treatment as such .. and its a inheritance category..and in my family there z no such symptom as such.. .. i went to one dermatologist ..he suggested me to wait for few month    ..if its continue i  hav to do a small cosmetic syrgery...by appling a patch in the affected area..z this the only solution ...or any alternative z ther

[Bhupinder Kaur, MD]

Hello,
Two possibilities are there for such depigementation. Firstly,it can be due to tinea versicolor. Tinea versicolor is caused by a fungus that lives in the skin of almost all adults. Factors that can cause the fungus to become more visible include high humidity and immune or hormone abnormalities. Treatment involves topical and oral antifungal medicines.

Second possibility is of vitiligo. It is a pigmentation disorder in which melanocytes (the cells that make pigment) in the skin are destroyed. As a result, white patches appear on the skin in different parts of the body. Diagnosis can be confirmed by external examination, blood tests to check skin cell count  for melanocytes and biopsy of the skin patches. A dermatologist’s evaluation will be the best to confirm the diagnosis.

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 dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.