- Bacterial or fungal infections (e.g., leprosy in endemic areas, but rare).
- Nutritional deficiencies (vitamin B12, copper or zinc, although infrequent).
- Medications (some prolonged topical corticosteroids).
- Genetic disorders (partial albinism, piebaldism — rare).
- Lichen sclerosus or morphea (autoimmune diseases that cause hardened white patches).
When should you worry and consult a dermatologist?
Most white spots are benign, but see a doctor if you notice:
- Spots that grow rapidly or change shape.
- Symmetrical and progressive loss of pigment (suspected vitiligo).
- Patches with scaling, intense itching, or redness.
- Sudden onset in adults over 50 years of age.
- Associated with other symptoms (hair loss, extreme fatigue, thyroid problems—vitiligo is associated with autoimmune diseases).
- Spots in genital areas, mucous membranes or around eyes/mouth.
What to do in the meantime?
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