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What causes fast-spreading white spots on the skin?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had some small white spots on my skin of legs for the past two years. I was taking homeopathic medicines for it. From the past six to seven months, some new patches have been coming on my face. These spots are spreading fast, and it has become a serious issue. Kindly suggest some quick and efficient treatment.

Kindly help.

Hi,

Welcome to icliniq.com.

It is vitiligo and since new patches are appearing it is called unstable vitiligo. How many patches are there over your body other than your neck? I suggest you try using the following Tacrolimus 0.1 percent ointment once a day, any lotion containing Deca Peptide, apply it over patches over the face early in the morning at 7 or 8 AM, followed by sun exposure at 9 AM for five minutes and take tablet Pigmento (bakuchi, neem, Vidang and sharpunkha), one tablet twice daily after the meal.

You should consider visiting a dermatologist because treatment for vitiligo takes time for repigmentation and since new patches are appearing, oral steroid or Azathioprine can be considered after examination and blood investigations. Please visit a dermatologist, and it is better to take treatment at this stage before other body parts are involved.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

There are four small patches on my legs. How long do I have to take these medicines? Should I start taking the medicines, or is it better to get a blood test first?

Kindly help.

Hi,

Welcome back to icliniq.com.

I suggest you start the medicines after you consult your physician. It can be continued for three months. But do visit a dermatologist, he or she will tell you to get some blood investigations before considering oral medications.

Thank you.

Medically reviewed byDr. K. Shobana

Published At June 11, 2017
Reviewed AtNovember 20, 2025

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