Whether the initial small white spots are easily cured or not needs to be decided according to the cause of the white spots. The common diseases that cause small white spots are vitiligo, lichen planus, pityriasis simplex, vulvar leukoplakia, etc. Most of the early small white spots caused by these diseases can be cured after active treatment, but there are also cases that are not easily cured, such as albinism, etc. 1. vitiligo: early small white spots that appear due to vitiligo are relatively easy to cure, and can be treated with topical creams under the guidance of a doctor, such as tacrolimus cream, fluticasone propionate cream, etc., or oral hormone drugs such as prednisone. In addition, you can also use phototherapy, using ultraviolet light to irradiate the white spots to restore the original color of the skin; 2, lichen planus: a skin fungal infection caused by Malassezia invasion of the skin keratin, can be manifested as small white spots, patients need to follow medical advice to choose antifungal drugs for treatment, such as topical miconazole nitrate ointment, but also can follow medical advice oral antifungal drugs, such as fluconazole 3, simple furfur: simple furfur early appear small white spots, and B vitamin deficiency, mostly seen in picky eating, follow the doctor’s advice to give vitamin B oral, and change the habit of picky eating, small white spots will generally gradually improve; 4, vulvar white spots: if small white spots occur on the vulva, generally accompanied by itching, can use fluorine easy ointment, itching oral loratadine, white spots 5. albinism: albinism can also cause small white spots in the early stage, mostly related to pigment synthesis and genetic mutations, which are more difficult to cure and usually spread with the development of the disease; 6. nevus pigmentosus: nevus pigmentosus is a non-genetic, congenital hypopigmented spot, which also shows small white spots of different sizes and shapes, mostly on the buttocks or back, and generally cannot be cured. It can be improved by epidermal transplantation or makeup; 7. Anemic nevus: Anemic nevus is usually a hypopigmented spot due to local developmental defects of blood vessels, which usually shows round or oval pale white patches, mostly in children, with chest and back being the most common, anemic nevus usually does not need treatment, but it cannot be cured. If the skin color is more demanding, surgical methods can be used to improve the skin color. There are many reasons for the occurrence of initial small white spots. When small white spots appear on the patient’s body, they should immediately go to the hospital to identify the cause, and according to the cause of the onset, targeted treatment can be carried out to achieve better treatment results.