White spots on a 4-month-old's skin can have several potential causes. It's important to consult with your pediatrician for an accurate diagnosis, but here are some common possibilities:
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Vitiligo: Vitiligo is a condition where the skin loses its pigment, resulting in white patches. This is not dangerous or contagious, but it can cause cosmetic concerns. According to the reference provided, "[Vitiligo] is a loss of skin pigment, or color, that causes white spots or patches on the skin...[it] is not medically dangerous. It's not a form of skin cancer, it's not an infection like MRSA, and it's not contagious."
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Pityriasis Alba: This common skin condition causes scaly, pale patches, often on the face, neck, or upper arms. It is usually more noticeable after sun exposure.
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Eczema: Sometimes, eczema can cause lighter patches of skin.
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Post-inflammatory Hypopigmentation: This can occur after a skin injury or inflammation (like a rash or burn) heals. The affected area may appear lighter than the surrounding skin.
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Tinea Versicolor: This fungal infection can sometimes cause white or light patches, although it's less common in infants.
Next Steps:
- Schedule an appointment with your pediatrician. A doctor can examine the spots and determine the cause.
- Describe the spots carefully. Note their location, size, shape, and whether they are itchy or scaly. Also, mention any other symptoms your baby has.
- Follow your doctor's recommendations. Treatment will depend on the underlying cause.
It's important to remember that the information provided here is not a substitute for professional medical advice. Always consult with your pediatrician for any health concerns regarding your baby.