Hi doctor, A white patch is seen on the lower lip of my daughter. The patch probably came into being during last three to four months. The doctors are saying it as vitiligo. She is also having acne on the nose and both arms. The details of my daughter are as follows: Age 14 years, height 5’3” (160 cm) and weight 52 kg. I have consulted two doctors and the prescriptions of both doctors have been uploaded. I am following the first prescription. According to this advice, my daughter is taking Aziok one tablet daily for five days, applying Candid mouth paint lotion and using Aha glow face wash four times a day. For acne on the nose and arms, she is applying Retino AC gel on the nose and arms, using Nizoral Shampoo and Moyzen Plus Bar during bathing and Aveeno moisturizer lotion on the whole body. The blood test report (uploaded herewith) of my daughter is showing high eosinophil. For this, she is using tablet once daily, tablet Xyzal once daily at night for a month and tablet Banocide forte twice daily for 14 days. Now, I would request you to let me know if I have taken right decision by following the first prescription. I am too much worried about the white patch on the lower lip.
Hello. I have gone through your query (attachment removed to protect patient identity) and I have noted your concern. The patch on the lip is definitely vitiligo. As far as treatment for vitiligo is concerned, Dicaris (Levamisole) is one of the treatment options for vitiligo in addition to other options. Dicaris has to be taken on two consecutive days in a week that is, every Saturday and Sunday, at night. Dicaris may have to be continued for weeks. In addition, I suggest her Tacroz forte 0.1% lotion (Tacrolimus) for the white patch on the lip, twice daily. Tacrolimus may have to be continued for weeks. Please consult her specialist doctor, discuss with him or her and take medicine with consent. Her prescription for acne and high eosinophil count is excellent. She may continue with it. For further doubts consult a dermatologist online -->