October 23, 2011
Vitiligo and Tinea versicolor both have the same body distribution patterns - generally large swaths of un-melanated skin. Small white spots that are localized primarily on the arms and shoulders, although they can appear anywhere depending on exposure, are usually a manifestation of chronic long-term sun damage and aging. It usually occurs only in genetically susceptible individuals. It's not an infection or autoimmune disease. The spots are not infectious and there is no way to undo the damage. It's part of aging and nothing to worry about. Wearing sunscreen will prevent tanning that makes the spots more apparent.