Patient's Query
Hi doctor,
It has been nearly two months since I noticed a white, rough patch on my front. I tried using Candid B cream, but it has not helped. What should I use now?
Please suggest.
Hi,
I am glad you chose icliniq.com for your medical-related queries.
I have read your query, but nothing is clear like 'white rough patch on my front’. Please get it reviewed with a picture for better evaluation and the best possible treatment.
Looking forward to your response in order to help you.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I am sending a photo of the patch.
The case is that two months ago, I bought a new cleanser which I had never used before.
After using it four to five times, I noticed something unusual on my forehead. Something a bit white was seen, but it was not very visible. I continued using it, and the mark became clearer.
The thing is, I am not sure whether the cleanser caused this patch because I often go out, and it is also winter here. So, I am confused whether it is the cleanser, the cold weather, or the sun.
The diameter of this patch is increasing, and its center has become darker than my complexion, while the area around it is still white. At times, dry skin forms, and it becomes itchy.
I bought a cream named Candid B (a combination of Clotrimazole and Beclometasone), but it was of no use. I also have some acne marks on my face that I am not able to make vanish.
My mother also has sun tan on her cheeks, which has formed pale patches. Please see to our problems.
Thank you.
Hi,
Welcome back to icliniq.com.
I have reviewed your query and understand your concern.
Based on your description and the photos provided (attachments removed to protect the patient’s identity), it seems that you have pityriasis alba, and your mother has melasma.
For you, pityriasis alba is a skin condition characterized by ill-defined, scaly, and faintly red (erythematous) patches. These lesions usually fade over time, leaving behind lighter (hypopigmented) areas that slowly regain their normal skin color. These hypopigmented areas often appear during winter but become more visible with sun exposure in spring and summer.
Pityriasis alba usually resolves on its own. However, proper sun protection is important to avoid darkening of the surrounding skin. These patches do not repigment easily with sun exposure, and tanning of nearby skin may worsen their appearance.
You can apply topical steroids such as Hydrocortisone 1 % or Desonide 0.05 % twice daily for five to seven days. In addition, use a hydrating moisturizer twice daily for one month.
For your mother, she appears to have melasma. Melasma is an acquired pigmentation disorder that commonly affects sun-exposed areas such as the cheeks, upper lip, chin, and forehead. It tends to develop gradually, and its treatment also takes time.
Treatment suggestions (general care):
Avoid direct sun exposure.
Wear a wide-brimmed hat while going outdoors.
Apply a skin-lightening cream such as Clearz cream (containing Kojic acid and Vitamin C) at night.
Use a broad-spectrum physical sunscreen during the day and reapply every four hours.
Other options include glycolic acid chemical peels or Nd: YAG (Neodymium-doped Yttrium Aluminum Garnet) laser treatments, though results may vary from person to person.
For both of you, all medications should be used only after consulting a general physician or a nearby dermatologist. Please follow up after one month or earlier if necessary.
I hope you are satisfied with my answer. For further queries, you can consult me at icliniq.
Thank you.
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Answered byDr. Suvash Sahu
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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