White spots on the skin can be caused by a variety of conditions, including allergies and nutritional deficiencies.
If you have questions or concerns talk to your primary care provider. “Skin discoloration can be triggered by a variety of causes, so check with your doctor for a diagnosis and treatment options.”
The most common causes of dry white patches on the skin are eczema, seborrheic dermatitis, psoriasis and nutritional deficiencies.
Eczema is a chronic, probably genetic, inflammatory skin condition that causes the skin to become inflamed or irritated and often results in a patch of skin that is lighter in pigment than the skin around it.
“Eczema is especially common in children,” says Dr. Wilson. “They often outgrow it, but some people continue to have symptoms on and off throughout their lives.”
Eczema is always itchy, and sometimes itching will start before a rash appears, most often on the face, back of knees, wrists, hands or feet. The areas may appear dry, thickened or scaly, and sometimes the skin can blister. Many people with eczema have allergies as well.
Treatment for eczema focuses on relieving and preventing itching, since scratching can make it worse and even lead to infection. Lotions and creams can keep the skin moist, and cold compresses can provide relief from itching. Other treatments include phototherapy, antihistamines and hydrocortisone.
“The right treatment will depend on your age, medical history and severity of your symptoms,” says Dr. Wilson. “Your doctor can determine what is best for you.”
Often called cradle cap in babies and dandruff in adults, seborrheic dermatitis causes itchy, red skin on the scalp, face and chest. In adults, dermatitis can be a chronic condition caused by stress, fungus or other issues.
Symptoms can be managed with creams, medicated shampoos, antifungal agents and other treatments. You may need to try different products or a combination of products before the condition improves.
Psoriasis is a common chronic skin disorder in which white blood cells cause inflammation. Skin cells multiply too rapidly, building up on the surface of the skin and causing a scaly, itchy plaque.
“Factors that trigger psoriasis include skin scrapes and bug bites, stress, smoking, alcohol and even vitamin D deficiency,” says Dr. Wilson. “If you and your doctor can identify your triggers, lifestyle changes can help you avoid the condition.”
Treatments include topical creams and ointments, light therapy and systemic medications for severe psoriasis.