White spots on skin

[Vickysue]

I have developed white spots on my skin that are waxy and different sizes. I was told a long time ago what they are but have forgotten and they are increasing so I would like to know what they are and what to do about them.

[Bhupinder Kaur, MD]

Hello,
Sorry replied to the earlier post. 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.

Hope it helps. Take care and pls do keep me posted on how you are doing or if you have any additional queries.Kind regards.

[Bhupinder Kaur, MD]

Hello,
Various possibilities for peeling hands are trauma and allergic or irritant contact dermatitis,contact with harsh detergents,soaps and lotions that contain perfume can cause hands and fingertips to become irritated and peel.Sometimes cold, dry air can cause  peeling and dermatitis or fungal infections can also cause peeling.

Wash the areas several times with fresh water. Do not use any cosmetic products at the sites.You can apply some calamine lotion at the rash as it will help in soothing the skin. For mild-moderate symptoms a weak steroid may be used (e.g. hydrocortisone as dermacort), whilst more severe cases require a higher-potency steroid (e.g. clobetasol propionate, fluocinonide).

Symptoms can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin. During the day, hydrate and protect hands with a protective and moisturizing cream. At night, repair them with creams formulated from glycolic acid—a must for improving skin texture and tone. If still the symptoms do not improve then pls get a clinical examination done by a dermatologist. Fungal infections have to be ruled out then.

Hope it helps. Take care and pls do keep me posted on how you are doing or if you have any additional queries.Kind regards.