White patches or spots on the skin can have many causes, ranging from harmless conditions such as Fordyce spots, milia, clogged pores and ingrown hairs to pigment changes caused by inflammation, fungal infections or vitiligo. Their appearance, location, texture, symptoms and how quickly they change can provide clues, but looking at a photo alone cannot confirm a diagnosis. Persistent, spreading, painful, itchy, bleeding or rapidly changing spots—especially in the genital area—should be evaluated by a healthcare professional.
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