Why do I have patchy white skin spots?

You may have gotten a heat rash on your forehead and back in the heat. This happens when moisture ducts get clogged and sweat gets trapped under your skin, in effect, red bumps are formed. Avoid hot and humid places, stay cool, dress in loose clothes, and use a cold compress. Keep your skin dry and clean. 

In most cases, these lymph nodes are connected with the infections of the rectal region such as perianal abscess or a hemorrhoid. Symptoms comprise inflammation, aches, painful tingling, and pus if the glandular development becomes infected recently. The most essential actions are hygiene and heat compress usage. Likewise, examining these lumps would help to understand the situation, so if there is no improvement or worsening of this disease, you are advised to hurry to the medical center.

You may have a skin infection caused by a fungus. This is something that can occur in the body as a result of fungi growing in humid and warm areas such as your groin. It may appear to you as if you are suffering from ringworms those red itchy spots you have on your skin. You may also experience a variety of sensations like burning or stinging. For this, apply antifungal cream which you can easily find in a pharmacy. First clean and dry the area to avoid further complications and help it heal.

Without a proper evaluation and diagnosis, I can't say. But normally, suggested treatments for perical pigmentation include topical medications and laser treatments and I do not recommend flutivate cream for pigmentation. However, based on your individual condition, the doctor will recommend the best treatment for you. 

It is best to consult a dermatologist who can recommend a suitable cleanser for your skin type. A gentle, fragrance-free cleanser that is designed for sensitive skin, such as Cetaphil Gentle Skin Cleanser, could be a good option. However, it is always best to seek professional advice to ensure the best care for your skin. They may ask other health conditions like regarding your gut health, other issues etc and accordingly prescribe.

Psoriasis can be a bit challenging to treat but various treatments like medications, laser treatments, alternative treatments like homeopathy etc., avoiding triggers that worsen your psoriasis symptoms can prove useful. I suggest talking to your doctor for proper examination of your condition which will help in deciding which is the best treatment for your condition.