Dwarf gouramis are susceptible to a variety of bacterial infections, some of which are very difficult to treat without antibiotics. I wrote a mini-FAQ on this topic
here.
However, fluffy patches can be one of two things, fungus or a bacteria called
Flexibacter columnaris (a.k.a "columnaris"). Fungus is easily treated with a variety of things, but columnaris is much trickier. Telling the two apart is difficult, but typically columnaris starts off as a grey patch before becoming fluffy. It is usually associated with sores or patches of dead skin. True fungus usually sets in where there has been damage to the body (often the fins) or if a fish is kept in the wrong water conditions (classically, when mollies have been kept in fresh, not brackish, water).
Anyway, you need to go by a treatment for either fungus or columnaris depending on what you're dealing with.
Saltwater dips can also be therapeutic for many fish, but I'm not sure that dwarf gouramis are robust enough for that sort of regimen. Best to ask in the gourami section of this forum. When done properly, salt dips can work very well for "mysterious" external infections.
Cheers,
Neale