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White spots on the skin

 
, medical expert
Last reviewed: 05.07.2025
 
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White spots on the skin are not only an external defect, but also evidence of various disorders within the body.

Causes of White Spots on Skin

A common cause of white spots on the skin is a disease called vitiligo. According to the World Health Organization, the number of people suffering from vitiligo worldwide is about thirty million people.

The disease can occur at any age, but in most cases it manifests itself before the age of twenty-five. The disease is characterized by a long course and can accompany a person throughout life.

The mechanism of the disease development is not fully understood, factors that can provoke the development of vitiligo include various disorders in the immune and endocrine systems, mental stress, deterioration of the liver, gastrointestinal tract, etc. Treatment of the disease can be quite long and does not always lead to the desired result.

White spots on the skin also appear with such a disease as versicolor lichen, or pityriasis versicolor, the development of which is associated with the activity of the fungus of the genus Malassezia, which affects the skin.

The causes of the appearance of white spots on the skin may also include a disease such as leukopathy, or leukoderma.

The causes of white spots on the skin may be associated with the presence of dermatological diseases, including the following:

  • Vitiligo is a disease accompanied by the absence of natural dark pigments on some area of the skin. This pathology can develop as a result of exposure to certain medications and chemicals, as a result of the influence of the nervous system on the processes of melanogenesis, as well as neuroendocrine and autoimmune factors.

Various inflammatory phenomena that form on the surface of the skin, as well as tissue necrosis, can also lead to the development of the disease. This pathology can be provoked by emotional stress, chronic diseases of the internal organs, and mechanical damage to the skin (isomorphic provoking reaction).

Vitiligo can also be caused by frequent exposure to chemical production (rubber, paint, etc.). In such cases, the disease usually regresses after a change in the environment. The disease can be transmitted genetically. The size of white spots on the skin during the development of vitiligo can vary.

The disease is more common among young people, but it can manifest itself regardless of age factors. With vitiligo, white spots on the skin can increase in size over time, forming large white areas. The hairs in the affected area also lose their color.

In most cases, the localization sites of this disease are elbows, knees, hands, however, the probability of vitiligo developing on any other area of the skin is not excluded. There is no pain when white spots appear on the skin associated with the development of vitiligo.

The development of the disease can be provoked by disorders in the endocrine system, immunodeficiency states, and dysfunction of the gastrointestinal tract. The causes that provoke the occurrence of pityriasis versicolor also include hereditary predisposition, prolonged use of corticosteroids, damage by heavy metals, increased sweating, as well as blood sugar levels, wearing clothes made of synthetic fabrics, solar radiation, etc.

  • Leukopathy, or leukoderma, is a skin disease caused by a decrease or complete absence of coloring pigment. White spots on the skin with leukopathy, depending on the type of disease, can occur as a result of sexually transmitted diseases (for example, syphilis), as a result of taking certain medications, as well as when the skin comes into contact with various harmful substances that have a toxic effect on the body.

The causes of leukopathy and the appearance of white spots on the skin also include infectious and fungal lesions of the skin. Leukopathy can also be inherited.

White spots on baby's skin

White spots on a child's skin may be a sign of the development of such a pathology as hypomelanosis. The first manifestations of such a disease may occur both immediately after birth and after several months or years. As a rule, severe infectious diseases precede the development of such a pathology. The consequences can be very serious, up to and including disruption of the central nervous system, as well as the peripheral nervous system and developmental delays.

Hypomelanosis forms include such diseases as vitiligo, albinism and leukoderma. In the development of vitiligo, the hereditary factor plays an important role. The causes of the disease can also be disorders in the functioning of the gastrointestinal tract, helminthic invasions, mental disorders as a result of exhaustion of the nervous system, pathological conditions of the cardiovascular system. As a rule, vitiligo does not affect the general well-being of the child.

There is also a suggestion that this disease in newborns occurs as a result of insufficient development of the immune system and can go away on its own as they grow older. According to some experts, children under four or five years of age do not require specific treatment for this disease, only regular medical supervision.

However, each case is strictly individual, and only a qualified doctor can decide on the advisability of treatment based on the examination. In the presence of concomitant pathologies that can provoke such a disorder as vitiligo, therapy of the underlying disease is carried out first.

Pityriasis versicolor in children is rare. The disease is mainly common among young people.

White spots on a child's skin may be a sign of a phenomenon called white lichen. White lichen is most often found among children and is very rarely observed in adults.

The causes of this disease remain unclear. The causative agent is a fungus that is found on the skin of all people and is considered harmless. According to some experts, a large amount of this fungus blocks the penetration of sunlight into some areas of the skin, resulting in white spots appearing on it. The highest probability of developing white lichen is in people suffering from skin diseases (various types of mycosis, dermatitis, eczema), prone to allergies and suffering from bronchial asthma.

The peculiarity of this disease is that it can recur even in the absence of any accompanying symptoms. Mostly, spots with white lichen appear on the face, arms and legs. The size of such formations can be from one to four centimeters. The general condition, as a rule, does not worsen, the skin does not itch or burn.

Sometimes the spots may peel or become moist. When white lichen occurs, the patient needs a comprehensive examination to promptly identify any other disorders in the body that could lead to the development of this disease.

Treatment of the disease is usually carried out in cases of extensive skin lesions, localization of lichen on the face, general deterioration of the condition, as well as the development of inflammatory phenomena on the skin and severe itching.

If white spots appear on the child's skin, you should never self-medicate. If such a symptom appears, you should definitely show the child to a dermatologist.

A small white spot on the skin

A small white spot on the skin may be a symptom of the development of a disease such as vitiligo. Subsequently, such a formation can grow, white spots can appear on various areas of the skin, including the face.

Vitiligo most often occurs at a young age, but it can also develop in children and the elderly. Vitiligo often develops in people with problems with the thyroid gland, gastrointestinal tract, and cardiovascular system.

White spots on the skin of the back

White spots on the skin of the back may indicate the presence of diseases such as pityriasis versicolor, vitiligo or leukoderma. A dermatologist will be able to differentiate such diseases during examination and diagnosis.

With pityriasis versicolor, the spots have irregular outlines and may peel. Antifungal drugs are prescribed for treatment.

Vitiligo manifests itself in the form of spots with clear outlines, which at the initial stage are usually small in size, but can subsequently become larger, merging into several large solid spots or one spot localized on some part of the back. Spots with vitiligo, in addition to the back, can be located on the arms, legs, face and other places. When diagnosing a disease such as vitiligo, treatment is primarily aimed at stimulating the production of melanin in the body.

With leukoderma, white spots on the skin of the back can also be of different sizes and shapes and can affect different areas of the skin. This disease can be a consequence of infectious diseases, skin lesions of various natures, as well as the result of exposure to medications. To differentiate the disease that caused the appearance of white spots on the skin and to conduct treatment, you should consult a dermatologist.

White spots on the skin of the face

White spots on the skin of the face are undoubtedly a serious defect in terms of aesthetics of appearance. Such a problem can arise at almost any age, causing a lot of inconvenience to a person and having a negative impact on his emotional state.

As the disease progresses, the spots may increase in size and merge into one large spot. If light spots appear on the skin of the face, the patient should avoid exposure to direct sunlight to prevent burning of the discolored skin segments.

Possible causes of white spots on the skin of the face include such a disease as vitiligo. The true causes of the development of such a pathology have not been established with certainty, but there are some assumptions about the occurrence of vitiligo, which include the following:

  • Genetic predisposition
  • Metabolic disorder
  • Endocrine disorders in the body
  • Malfunction of the gastrointestinal tract
  • Previous skin lesions
  • Long-term emotional overload
  • Autoimmune disorders
  • Side effects of medications

In addition to the above, there are other factors that, according to experts, can influence the development of vitiligo. To establish the possible causes that provoked this disease, the patient must consult a doctor and undergo a comprehensive diagnosis.

White spots on the skin of the legs

White spots on the skin of the legs can be of different sizes - from small to very large, with the exception of the surface of the feet - white spots are not localized in this area. The appearance of such pigmentation is most likely associated with the development of such a disease as vitiligo, the exact causes of which have not been studied with precision.

Medical experts make various assumptions regarding the causes of vitiligo, for example, that the disease can arise under the influence of severe nervous tension, as a result of disruption of the endocrine system, gastrointestinal tract, as a result of decreased immunity, liver disease, etc.

Treatment of vitiligo is a rather complicated process and does not always give the expected result. However, the sooner you see a doctor, the higher the chances of successful treatment.

When vitiligo is diagnosed, the main therapy is aimed at stimulating the production of dark natural pigment in the body. For this purpose, ultraviolet radiation can be used. The duration of treatment is on average about four months. The procedures are carried out three times a week for half an hour.

Patients may be prescribed corticosteroids and immunomodulatory agents. People suffering from a disease such as vitiligo are contraindicated to stay in the open sun to prevent sunburn of the affected areas.

White flaky patch on skin

A white flaky spot on the skin or multiple white spots may be evidence of the development of a disease such as pityriasis versicolor, associated with a fungal infection of the skin. The color of the spots with pityriasis versicolor may change and be yellowish or with a red tint, which is why the second name of this disease is colored lichen.

When infected with versicolor lichen, such spots can be located on the skin of the chest, back, shoulders, and other areas of the body. Initially, the spots are small, but can subsequently increase in size and merge into one solid spot. White spots on the skin with versicolor lichen can persist for several months and even years.

The cause of the disease is a fungal infection of the skin, which prevents the normal production of the natural dark pigment – melanin.

Microorganisms that cause this disease can live on the skin for a long time without showing any symptoms. The development of pityriasis versicolor can be provoked by disorders in the endocrine system, increased sweating, decreased protective functions of the body, frequent visits to the solarium and other factors that have a negative effect on the skin.

To confirm the diagnosis, a face-to-face examination of the patient is carried out, and a Balzer test may be performed. For this, the affected areas are treated with iodine and the changes that have occurred are assessed. With multi-colored lichen, the spots after such treatment acquire a dark brown color. Microscopic examination allows one to detect a cluster of Malassezia fungi on the skin.

In the treatment of versicolor lichen, antifungal ointments are used; in case of frequent recurrence, antibacterial therapy is carried out, and the affected areas of the skin are treated with a solution of salicylic alcohol.

Lamisil ointment can be used to treat pityriasis versicolor. The drug is applied to the skin once or twice a day. Before use, the skin must be washed and wiped dry. The duration of therapy can be from two to five weeks.

Clotrimazole ointment is also used to treat pityriasis versicolor. The drug is applied to the affected areas two to three times a day for two to four weeks.

White dry spots on skin

White dry spots on the skin, accompanied by peeling, can be a symptom of the development of pityriasis versicolor. The disease develops under the influence of a fungus that affects the skin, and can have a long course.

To establish a diagnosis and prescribe treatment, an in-person examination by a dermatologist is required. The formation of white spots on the skin of various sizes and shapes can also be caused by other diseases, such as vitiligo. To differentiate symptoms and prescribe treatment, it is necessary to undergo a comprehensive examination.

White rough spots on skin

White rough spots on the skin are most typical for such a disease as pityriasis versicolor, or multicolored lichen. The causes of the disease are associated with the development of a fungus on the surface of the skin, which can exist on the skin for a long time and not manifest itself in any way. The impetus for the development of pityriasis versicolor can be diseases of the endocrine system, decreased immunity, increased sweating, skin damage due to the influence of a solarium or sun rays, etc.

To correctly diagnose and determine treatment tactics, if white rough spots appear on the skin, you should consult a dermatologist.

What to do if your skin is covered with white spots?

A disease such as vitiligo is inextricably linked with the appearance of white spots on the skin, which can be located on almost any part of it. First of all, people who have encountered such a problem should consult a dermatologist, who, after conducting diagnostics, will advise what to do if the skin is covered with white spots.

Among the causes of white spots on the skin are also versicolor lichen and leukopathy. The symptoms of all these diseases can be similar to each other, so to differentiate the symptoms and establish an accurate diagnosis, you must immediately consult a doctor.

If the skin is covered with white spots, you should not try to get rid of them on your own, as this can lead to the development of complications and complicate the further treatment process.

What to do if a white spot on the skin itches?

In cases where white spots appear on the surface of the skin, the patient may be bothered by accompanying symptoms such as itching and flaking of the skin.

Of course, first of all, when any dermatological disease develops, you need to see a dermatologist. And only after that can you take the necessary measures to eliminate such symptoms. Based on the examination, the doctor will recommend what to do if the white spot on the skin itches, peels, or simply does not manifest itself in any way.

Possible causes of white spots on the skin include diseases such as pityriasis versicolor, leukopathy or vitiligo. A decrease in the production of natural dark pigment in the body during the development of such diseases can be caused by a very wide range of reasons. A timely visit to a doctor will allow you to accurately determine the causes of white spots on the skin and choose the right treatment methods.

What to do if white spots appear on the skin?

To know exactly what to do if white spots appear on the skin, first of all you should contact a specialist - a dermatologist - with this problem.

Some skin diseases are accompanied by similar symptoms, which can only be distinguished by a specialist. Accordingly, treatment can only be started after a comprehensive examination and will depend on the diagnosis.

If the cause of the appearance of white spots on the skin is lichen versicolor, the patient is prescribed antifungal agents for local use; in case of repeated cases of the disease, antibacterial drugs are used.

If white spots on the skin are a symptom of a disease such as vitiligo, treatment is more complicated; correction of the patient’s general condition and therapy of concomitant pathologies that could lead to the development of vitiligo are necessary.

Treatment of white spots on skin

Treatment of white spots on the skin should be started only after diagnosis and establishment of the causes that caused such symptoms.

If the appearance of white spots on the skin is associated with the development of a disease such as vitiligo, the patient is prescribed complex treatment, including UV therapy and the use of medications.

Melagenin lotion can be used for local treatment of vitiligo. The substances contained in its composition are capable of stimulating the processes of skin pigmentation, promoting the production of natural dark pigment in the body - melanin.

The preparation is applied to the area of formation of white spots three times a day with light rubbing movements, after which UV irradiation of the treated areas is carried out once a day for fifteen minutes. With a positive effect, the preparation of white spots on the skin first acquire a reddish tint and gradually darken. The preparation Melagenin is not used during pregnancy and breastfeeding.

UV irradiation for vitiligo is often combined with the use of photosensitizing drugs that can increase the skin's susceptibility to ultraviolet radiation and, as a result, stimulate melanin production. These include drugs such as puvalen, meloxin, meladinin, methoxaralen, etc.

Systemic treatment of vitiligo, depending on the indications, may include the use of the following agents:

  • Preparations containing corticosteroids (prednisolone, diprospan)
  • Aminoquinoline drugs (chloroquine diphosphate)
  • Immunomodulatory agents (cyclosporine A, isoprinosine)
  • Drugs that improve the functioning of the gastrointestinal tract
  • Means that normalize metabolic processes in the liver
  • Agents that improve digestion processes (pancreatin)
  • Vitamin and mineral complexes
  • Sedatives and antidepressants

To make white spots on the skin less noticeable, masking cosmetics are used.

All of the above methods and means for treating vitiligo can only be prescribed by a qualified physician after a comprehensive examination and diagnosis.

If white spots on the skin are associated with the development of pityriasis versicolor, the patient is prescribed antifungal ointments (lamisil, clotrimazole) and antibacterial drugs.

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