The spots above the chest may be related to florid furfurfur (the color of the lesions can be brown, reddish, yellowish and white, etc.), seborrheic keratosis (the color of the spots is brownish to black) and vitiligo (usually white) and other diseases, and it is recommended to take medication, physical therapy and other ways to improve the situation. 1. florid chaff rash: florid chaff rash occurs in the neck, chest, shoulders and other places, the patient can be used externally miconazole, econazole and terbinafine and other antifungal drugs, can play a role in inhibiting the synthesis of fungal cells. If the lesions are large, patients need to take oral terbinafine, fluconazole and other drugs to promote the recovery of the disease. 2. Seborrheic keratosis: Seborrheic keratosis is common on the head, face, neck and trunk, etc. The disease is mainly treated with physical therapy, including freezing, Q-switched laser and intense pulsed light, etc., which can break down the pigment particles, and help to remove the discoloration. Patients can also use topical medications such as hydrogen peroxide solution and liquid nitrate-zinc compound solution to help remove the lesions. 3. Vitiligo: Vitiligo can appear in all parts of the body and can also lead to spots on the chest. Patients can use topical glucocorticoid drugs such as Halometasone and Hasinide, which can stop the spread of white spots. Oral prednisone and other drugs can also be taken to control the condition of vitiligo. If vitiligo is widely distributed, it is recommended to choose narrow-spectrum medium-wave ultraviolet irradiation of the local area to improve the symptoms of the disease. The reason for the spot above the chest is not one, it is recommended that the patient go to the regular hospital, with the doctor for standardized treatment.