Fungal Acne – How to Identify and Treat It

Have you been struggling with persistent acne that won’t respond to traditional treatments? You might be dealing with fungal acne, a skin condition often mistaken for regular acne. Let’s break down what fungal acne is, how to identify it, and the most effective treatments.

What Is Fungal Acne?

Fungal acne, also known as Malassezia folliculitis, is not true acne. It’s caused by an overgrowth of Malassezia, a type of yeast that naturally resides on your skin. When this yeast grows out of balance, it can lead to itchy, uniform bumps that are often mistaken for acne. These bumps commonly appear on the forehead, chest, and back—areas prone to sweat and oil buildup

How to Identify Fungal Acne

Fungal acne can be distinguished from regular acne by its appearance and behavior:

• Small, uniform bumps: Unlike traditional acne, these bumps are often the same size and lack pus.

• Itchiness: Fungal acne tends to be itchy, a characteristic not commonly associated with bacterial acne.

• Location: It’s most common in areas prone to sweating, such as the forehead, chest, and upper back.

Causes of Fungal Acne

• Excessive Sweating: Humid environments or frequent sweating can create a breeding ground for yeast overgrowth.

• Antibiotic Use: Long-term antibiotics can disrupt the skin’s natural microbiome.

• Occlusive Skincare Products: Heavy creams or oils can trap moisture and exacerbate fungal growth.

• Imbalanced Microbiome: A disrupted skin microbiome can lead to overgrowth of Malassezia.

How to Treat Fungal Acne

1. Cleanse with Antifungal Shampoos: Shampoos containing ketoconazole or selenium sulfide can be used as face or body cleansers for 10–14 days.

2. Apply Antifungal Creams: Topical treatments with ingredients like clotrimazole or miconazole are highly effective.

3. Avoid Occlusive Products: Opt for lightweight, non-comedogenic products to prevent clogged pores.

4. Simplify Your Routine: Remove unnecessary products that may be contributing to the imbalance.

When to See a Dermatologist

If over-the-counter treatments don’t improve your symptoms, consult a dermatologist. They can prescribe stronger antifungal medications or evaluate your condition further.

Fungal acne requires a different approach than traditional acne, but with the right treatments, you can achieve clear, healthy skin again. Remember, patience and consistency are key!