Hypopigmented patches over the legs can be seen in a number of conditions. These are sometimes seen when an inflammatory condition of the skin subsides. Hypopigmented patches, which also have impaired sensations, are encountered in leprosy. Completely depigmented patches which are milky white are seen in leukoderma / Vitiligo, guttate hypomelanosis and lichen sclerosis et atrophicus. In children one also has to consider some congenital disorders. Treatment for leprosy should not be refused. For others one may or may not take treatment.