White Patches on Cheeks - Neither 'Worms' Nor 'Calcium Deficiency'

 "Doctor, please do something for these white patches that appear on his cheeks I have started giving him oral calcium supplements but it didn't help. Do you think it is because of worms?" a mother was asking me anxiously. She was worried about the light-colored circular patches that had appeared on the cheeks of her son. This is a very common complaint encountered in pediatric patients. Mostly parents connect it with either a deficiency of calcium or due to worm infestation; while some go to the extent of considering it a pre-vitiligo stage. The worried mothers empirically start treating the child with some OTC drugs, without knowing what is it actually?Pityriasis alba, is a common skin disease, predominantly affecting children of 3-16 years of age and affects almost 8-10% of children at least once in their lifetime. The word 'pityriasis' denotes the finely scaled appearance while the word 'alba' is Latin for white, the color of the patches.The patches are definitely

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