Small pale patches on a baby's legs and hands are usually not pityriasis alba, which tends to show up on the face in slightly older children. At four months, this is more often mild dryness or early eczema leaving a lighter patch, or a harmless birthmark such as nevus depigmentosus. Most of these fade on their own with regular care.
Next Steps
Keep the skin well moisturized with a fragrance free baby cream twice a day and avoid harsh soap on those areas. Take a clear photo and show it to your pediatrician at her next visit so they can confirm what it is.
Health Tips
See the pediatrician sooner if the patches grow, change texture, or new ones keep appearing elsewhere on her body.