Causes of White Dots, Patches or spots on Hands

White patches on hands - Vitiligo

Table Of Contents

The appearance of white spots on hands, like on any other body part, is quite worrying. This is more so when such spots, dots or patches on hands come and go. Although at most times they are painless, depending on what is causing them, they can be painful and itchy.

Tiny or small white patches, spots or dots on your hands can also be embarrassing given that some of us are used to wearing short-sleeved shirts. The problem comes when these spots start as small ones then grow to become big conspicuous spots.

White patches on hands - Vitiligo

Is this vitiligo

Many people, who are victims of this discoloration, do not understand where they come from. You don’t need to worry about them as they are caused by various things, most of which can be managed at home through existing simple home remedies.

Why do your hands develop white spots?

The appearance of white spots on your hands means that something is wrong. They are an indication of exposure to some elements or an infection. Commonly, they signify depigmentation. The big question, therefore, is; what is causing this depigmentation?

As you know, your skin color is due to the production of melanin by melanocytes. There comes a time when these melanocytes are infected or deactivated. This deactivation can be as a result of fungal infection, exposure to UV light or chemicals.

Commonly, the appearance of white patches on hands, face, around eyes, feet and anywhere on the body makes us think of vitiligo. This is one of the most common skin discoloration disorders. It is asymptomatic and starts by causing white patches on one part of the body before spreading to other parts of the body.

What causes them?

Where are the white spots on your hands coming from? There have been a lot of superstitions surrounding appearance of these spots.

Some people will talk of white spots on hands due to circulation, or when cold. There are others who believe that the white dots or patches on the skin are because of sunburn or age spots. Irrespective of what you believe to be the cause, these spots, dots or patches signify that your melanocytes are not functioning properly.

According to, white spots on hands can be an indication of various things that ought to be taken seriously.

The common causes include:

Skin infection or conditions

There are some skin infections or conditions manifest themselves in the form of white patches, or dots on the skin.

One of the common such condition is eczema. Do you know what eczema is? Some people call it atopic dermatitis. In most cases, this condition makes your skin red and itchy. However, it may make your skin develop white spots.

According to, eczema comes along with the following symptoms alongside white spots on hands:

  • Your skin becomes extremely dry
  • Severe itching on the affected areas of your skin
  • Red and brown patches alongside the white ones
  • Raised bumps that ooze pus
  • The skin becomes thick and scaly
  • Due to scratching, the skin becomes severely inflamed

It could be tinea versicolor

Tinea versicolor is a fungal infection that mainly targets various parts of the body including your hands. Some people call it pityriasis versicolor. It is the most common yeast infection that leads to the occurrence of white spots on hands.

This disease is believed to be caused by the following yeast microbial elements:

  • Malassezia globosa
  • Malassezia furfur

People living in hot, humid areas are at a higher risk of contracting this disease. Hot and humid climate provides a good environment for the yeast that causes the disease to grow. This is common among young adults as well as the adolescents.

Are your spots on your hands as a result from Tinea versicolor? According to the American Academy of Dermatology, tinea versicolor poses the following symptoms:

  • White patches on shoulders, hands, back, and chest
  • The skin turns dry and scaly
  • The affected skin may also itch
  • They may vary in color
  • With time, the white spots darken
  • The spots are more conspicuous when temperatures are high but disappear when temperatures cool down

If you are noting some of these symptoms, you don’t have to worry as you can easily manage this condition. Generally, tinea versicolor is managed by topical antifungal ointments. These are applied to the affected areas of your skin. The most common antifungal ointments that you can use include:

  • Selenium sulfide
  • Clotrimazole
  • Ciclopirox
  • Ketoconazole
  • Tolnaftate

You can also make use of oral antifungal drugs that are available in every chemist. However, it may take weeks to months before your original skin color is restored.


Vitiligo is the worst skin nightmare for every person. In fact, no one wishes to have this condition. Damage or deactivation of melanocytes results to Vitiligo. The condition mainly involves skin depigmentation, especially appearance white colored patches or spots on various parts of the body.

The spots, dots, and patches may spread from hands to other body parts. Depending on the severity of vitiligo, immediate medical help is recommended. If left untreated, it may become a permanent skin condition.

Vitiligo is more pronounced among the dark-skinned people. Due to their dark skin color, any depigmentation is highly conspicuous. As melanocytes are destroyed, the original skin color disappears and is replaced with white spots, that later become big patches.

Are the white patches on your hands because of vitiligo? Here are other symptoms you can check to ascertain if you are having vitiligo infection:

  • White spots, dots or patches
  • Your hair starts turning white
  • Mucous membrane also turns white
  • The eyeball also loses its original color

If you are noting any of the above symptoms, then you should seek vitiligo treatment.

What causes vitiligo? This is a common question among many people. This condition is caused by the following risk factors:

  • Chemical bleaching or exposure to certain chemicals
  • Autoimmune attacks where the white blood cells fight and kill melanocytes
  • Nerve damage
  • It can be genetically passed on from parents to children
  • A deficit of melanocytes in the body

Vitiligo is termed to be a terminal skin problem. What starts as a single spot becomes a white patch within a few days. The spots are initially noted on the hands, face, and neck. Within weeks, they become dots and later patches.

A closer look at vitiligo spots reveals three zones. However, the white zone dominates the other two. The spots or patches indicate the level of hypopigmentation.

How do you treat white spots on hands?

You don’t have to worry if the white spots on your hands aren’t growing. These can easily be managed through camouflaging your skin. This is covering them with creams and lotions.

However, if they grow rapidly, then you need to worry since what started as a small spot may soon become a patch. In such a case, you must ensure they get their original pigment back. Is it possible to reverse depigmentation?

According to, there are various treatment options that can help in repigmentation of your skin.

Some of the available treatment options include:

  • Surgery- You can repigmentation of your skin through surgery. Commonly, dermatologists conduct autologous melanocyte grafting and autologous skin grafting surgeries. In these two surgeries, surgeons replace the affected skin cells with normal ones.
  • Use Topical Agents- These mainly come in the form of lotions and creams. Steroids, for example, are known to prevent autoimmune attacks on melanocytes. Alongside steroids, you can also use pimecrolimus and tacrolimus.
  • Supplement your Diet- This is a form of complimentary treatment. It involves the use of minerals, vitamins, and herbal extracts.
  • Light Therapies– These therapies are effective in slowing down the rate at which the white spots grow. The therapies also help in repigmentation of these spots. The common light therapies include PUVA, excimer laser, and narrowband UVB.


  1. Small White Patches on Hands
  2. Melanocyte
  3. Vitiligo
  4. Tinea versicolor
Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

    Disclaimer: Bestdailyguides content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
    Copyright © 2022 Best Daily Guide
    Follow Us