Patient's Query
Hello doctor,
I have these white spots on the side of my mouth. What can this be and how do I treat it?
I just found out this week that I have vitiligo in my groin area for which the doctor just gave me Protopic and Triamcinolone. Would I be able to use this on the side of my mouth?
Kindly suggest.
Hello,
Welcome to icliniq.com.
I can understand your concern.
If vitiligo has been confirmed in your groin area, the light-colored patches on your face may represent early-stage vitiligo (pre-vitiligo). To better diagnose your condition, it is essential to assess the time gap between noticing groin and facial patches, the level of pigmentation difference, and whether the facial patches are itchy or red.
Additionally, a history of dandruff (seborrheic dermatitis) or atopy (allergic tendencies like asthma, sinusitis, or recurring cold) can provide further insights. A well-focused photograph or a video consultation would be beneficial for a more accurate diagnosis.
If facial patches are slightly lighter, they may be due to pityriasis alba (linked to atopy) or seborrheic dermatitis (dandruff-induced), both treatable with Tacrolimus (Protopic) ointment applied twice daily for two to three weeks.
If confirmed as pre-vitiligo, the patches may progress into full vitiligo, requiring Triamcinolone (a corticosteroid) once daily for two to three weeks, along with Tacrolimus for at least three months.
Since prolonged steroid use can thin facial skin, careful application is necessary. Additionally, sunlight exposure for five minutes daily can help stimulate the repigmentation of vitiligo patches.
I hope this helps.
Thank you.
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Answered byDr. Sidharth Sonthalia
Medically reviewed byDr. Divya Banu M
Same symptoms don't mean you have the same problem. Consult a doctor now!
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