Fungal Acne: Causes, Symptoms, and Treatment

Fungal Acne: Causes, Symptoms, and Treatment

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Focused Health Topics
Contributed byAlexander Enabnit+2 moreJun 22, 2023

Introduction:

Fungal acne, also known as pityrosporum folliculitis or Malassezia folliculitis, is a common skin condition caused by an overgrowth of yeast on the skin. While it is commonly referred to as "fungal acne," it is important to note that it is not a true form of acne. This article aims to provide a comprehensive understanding of the causes, symptoms, and treatment options for fungal acne.

Understanding Fungal Acne:

Fungal acne is characterized by the overgrowth of a yeast called Malassezia on the skin. Malassezia is a normal resident of the skin, but when it proliferates excessively, it can lead to an infection of the hair follicles. This results in the appearance of small, uniform bumps that resemble acne.

Causes:

Several factors contribute to the development of fungal acne:

  • Hot and humid environments: Fungal acne thrives in warm and moist conditions, making it more common in regions with high humidity or during periods of excessive sweating.
  • Excessive sweat production: Increased sweating provides an ideal environment for the growth of Malassezia yeast, leading to the development of fungal acne.
  • Weakened immune system: Individuals with weakened immune systems, such as those with certain medical conditions or undergoing immunosuppressive therapy, may be more susceptible to fungal acne.
  • Prolonged antibiotic use: Antibiotics can disrupt the natural balance of microorganisms on the skin, potentially triggering the overgrowth of Malassezia and the development of fungal acne.

Symptoms:

The symptoms of fungal acne typically include:

  • Small, uniform bumps: Fungal acne lesions often appear as clusters of small, uniform red or skin-colored bumps that resemble acne.
  • Itching or discomfort: Affected individuals may experience mild to moderate itching or discomfort in the areas where the fungal acne is present.
  • Lack of typical acne features: Fungal acne lacks the typical features of acne, such as blackheads, whiteheads, or inflammatory papules and pustules.

Treatment:

The treatment of fungal acne focuses on controlling the overgrowth of Malassezia yeast and reducing inflammation. Here are some common treatment options:

  • Antifungal cleansers: Cleansers containing antifungal agents like ketoconazole or selenium sulfide can be used to cleanse the affected areas and inhibit the growth of Malassezia.
  • Topical antifungal creams or lotions: Applying topical antifungal medications directly to the affected areas can help eliminate the yeast and alleviate symptoms. Commonly used antifungal agents include ketoconazole, clotrimazole, or ciclopirox.
  • Antifungal shampoos: When fungal acne affects the scalp or forehead, antifungal shampoos containing ketoconazole or selenium sulfide can be used to cleanse and treat the area.
  • Oral antifungal medications: In severe or persistent cases of fungal acne, oral antifungal medications like fluconazole or itraconazole may be prescribed to target the infection internally.
  • Sebum control and hygiene: Keeping the affected areas clean and dry, avoiding occlusive products, and practicing good hygiene can help prevent the recurrence of fungal acne.

Conclusion:

Fungal acne, caused by an overgrowth of Malassezia yeast, manifests as small, uniform bumps on the skin. Understanding its causes, recognizing the symptoms, and seeking appropriate treatment are crucial for managing fungal acne effectively. If you suspect you have fungal acne, consult a dermatologist for a personalized treatment plan and guidance.

Hashtags: #FungalAcne #PityrosporumFolliculitis #MalasseziaFolliculitis #SkinCare

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On the Article

Krish Tangella MD, MBA picture
Approved by

Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team
Alexander Enabnit picture
Author

Alexander Enabnit

Senior Editorial Staff
Alexandra Warren picture
Author

Alexandra Warren

Senior Editorial Staff

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