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About a year ago I noticed my underarms were really white. I then noticed the skin on my hands was very patchy. I now have this in the crooks of my arms and also at the top of my thighs. My GP has ruled out Malasmo (which my Sister suffered free a couple of tears ago. I have a dermatologist appointment at the end of the month. Any ideas as to what this could be and causes it. It doesn't itch and I am not conscious of it at this stage but do worry about further progression.

Hello,

this sounds like possible vitiligo although it is difficult to make a diagnosis without seeing you in person. I am afraid the course of vitligo may be unpredictable. But if it is vitiligo a few treatments can be tried including tacrolimus (Protopic) ointment or UVB phototherapy.

I hope this might be of help.

with very best wishes,

Dr Anton Alexandroff CCT(Dermatol) FRCP(UK) FAAD FRSM
Consultant Dermatologist and Senior Lecturer
Member of British Association of Dermatologists
De Montfort University, Leicester Spire Hospital, Leicester Nuffield Health Hospital, Bedford BMI Manor Hospital
www.alexandroff.org.uk

Thank you for your reply.

I appreciate that without seeing my skin it is hard to diagnose. I did try to upload a photo but didn't have any luck! My GP ruled out Vitiligo along with Malasmo. He was rather intrigued, and said was very interested to know how I get on at the skin clinic he was referring me to!

I shall try uploading another photo!

You mention UVB. Could taking Melatonin affect my skin?

Thank you

I attach a photo: