As an Asian, it was quite noticeable when I had developed these white skin patches on the areas near my mouth and ears. When I went to see a dermatologist, I was prescribed a topical ointment or cream.
The first med in 2006 was Protopic (tacrolimus ointment). Drugs.com describes it as "Protopic is a topical macrolide immunosuppressant. It works by decreasing cell activity in the body's immune system which helps to slow down the growth of atopic dermatitis (eczema) on your skin. Protopic is used to treat severe atopic dermatitis when other medications have not worked well. Protopic may also be used for purposes other than those listed here. Read more: http://www.drugs.com/protopic.html#ixzz0oZj0zhur."
However, I didn't quite get the best results when using this medicine.
So, I went to see another dermatologist in 2007 (had different insurance at that point), and she prescribed Elidel (pimecrolimus cream 1%). Drugs.com describes it as "Elidel is a cream containing pimecrolimus, an immunosuppressant. It works by decreasing your body's immune system to help slow down the growth of atopic dermatitis (eczema) on your skin. Elidel is used to treat severe atopic dermatitis when other medications have not worked well. Elidel may also be used for purposes other than those listed here. Read more: http://www.drugs.com/elidel.html#ixzz0oZjxPX5w."
Within a few months of using Elidel, all of the white patches seem to have disappeared. It worked for me and am not sure if these meds are available without a prescription where you are. It may be time to visit a dermatologist and inquire what new treatments may be available.