White patches on the skin of the elderly caused by senile white spots need no treatment, but may also be caused by vitiligo, florid chaff rash, etc., which need to be treated with medication, physical therapy and surgery for the cause of the disease. 1. senile white spots: the elderly with age will appear skin hypopigmentation, at this time there will be senile white spots, this is a normal phenomenon, do not need treatment. 2. Vitiligo: Vitiligo can also lead to white spots on the skin of the elderly, at this time, patients need to use mometasone furoate cream, fluticasone propionate ointment and other glucocorticoid ointment under the guidance of the physician, as well as 0.1% tacrolimus ointment or 1% pimecrolimus ointment and other calcium-modulated phosphatase inhibitors. In addition, patients can also take phototherapy NB-UVB and 308nm excimer laser and other physical therapy, or take skin transplantation treatment. 3. florid chaff rash: the elderly appear florid chaff rash will appear the symptoms of white spots on the skin, the patient can use miconazole cream, ketoconazole cream and other antifungal ointment under the guidance of the doctor, or 2% ketoconazole lotion, 2.5% selenium disulfide and other topical medications. For those with large skin lesions, oral antifungal drugs such as itraconazole and terbinafine can be taken as prescribed by the doctor. Elderly skin long white spots may also be albinism, simple furfura and other diseases. It is recommended that the elderly skin long white spots need to consult a doctor in a timely manner to clarify the cause, if it is caused by senile white spots, do not need treatment, if it is caused by disease, it is necessary to target the cause of the treatment.