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Fungal Acne - Causes, Symptoms, and Treatment

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Fungal acne is an important concern of the skin. Read ahead to learn more about it.

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At July 19, 2023
Reviewed AtJuly 31, 2023

Introduction

Fungal acne, also known as pittosporum folliculitis, is a type of acne caused by yeast that lives on the skin. This condition can be mistaken for regular acne, but the treatments for each are different. This article will throw light on what is fungal acne, including its causes, symptoms, diagnosis, treatment, prevention when to see a doctor, and much more.

What Is Fungal Acne?

Fungal acne is a type of acne caused because of excessive growth of a yeast called Malassezia. Normally, this yeast may be found on the skin, however, when it overgrows, it can cause inflammation, redness, and small, itchy bumps. Unlike traditional acne, fungal acne is caused by yeast instead of bacteria.

What Are the Causes of Fungal Acne?

The exact cause of fungal acne is not clearly understood, rather it is known to be aggravated by several factors, including:

  • Overgrowth of Malassezia Yeast: Fungal acne is most commonly caused by an overgrowth of the yeast this yeast and is present on the skin's surface.

  • Hormonal Changes: During teenage, pregnancy, or menstrual cycles, can trigger the overgrowth of Malassezia and cause fungal acne.

  • Sweating: Sweating can create a moist environment that promotes the growth of Malassezia yeast.

  • Tight Clothing: Tight clothing, such as spandex or tight-fitting sports bras, can trap moisture against the skin and create an environment that is conducive to the growth of Malassezia.

  • Use of Certain Medications: Some medications, such as steroids, can also promote the growth of Malassezia yeast and cause fungal acne.

What Are the Symptoms of Fungal Acne?

The symptoms of fungal acne may be different for people, common symptoms include:

  • Small, Itchy Bumps on the Skin: These bumps may be red or flesh-colored, and they may be surrounded by a halo-like ring.

  • Inflammation and Redness: The affected skin may be red and inflamed, and it may be itchy or painful.

  • Persistence: Unlike traditional acne, fungal acne may persist for a long time, even with the use of acne treatments.

How Is Fungal Acne Diagnosed?

Fungal acne can be critical to diagnose as the symptoms are confusing with traditional acne. However, a dermatologist can usually diagnose fungal acne by examining the affected skin and performing a skin culture or biopsy. Skin cultures involve taking a sample of the affected skin and testing it to see if Malassezia yeast is present.

Who Can Get Fungal Acne?

Fungal acne can affect anyone, but it is more common in people with oily or acne-prone skin. Individuals who sweat excessively, wear tight-fitting clothing, or live in hot, humid environments may also be more susceptible to developing fungal acne. People who have poor immunity or are taking certain medications, such as oral or topical steroids, may be at higher risk of developing fungal acne.

How Much Time Does It Take for Fungal Acne to Fade Away?

The length of time it takes for fungal acne to go away can vary depending on the severity of the condition and the effectiveness of the treatment. With proper diagnosis and treatment, fungal acne can often be cleared up within a few weeks to a few months. However, it is important to continue treatment for the full duration prescribed by a healthcare provider, even if symptoms improve before then, to prevent a recurrence of the condition. Additionally, maintaining good skin hygiene and avoiding factors that can trigger the growth of Malassezia yeast can help to prevent a recurrence of fungal acne in the future.

What Is the Treatment of Fungal Acne?

The treatment of fungal acne depends on the severity of the condition. Mild cases of fungal acne can often be treated with over-the-counter antifungal creams or washes that contain ingredients such as Ketoconazole or selenium sulfide. These products can help to reduce the growth of Malassezia yeast and alleviate the symptoms of fungal acne.

More severe cases of fungal acne may require prescription antifungal medications, such as oral antifungal pills or topical prescription-strength creams or gels. These medications can help to kill the Malassezia yeast and reduce the inflammation and itching associated with fungal acne.

How to Prevent Fungal Acne?

Preventing fungal acne involves maintaining good skin hygiene and avoiding factors that can trigger the growth of Malassezia yeast. Some tips for preventing fungal acne include:

  • Keep Skin Clean and Dry: Wash skin regularly with a gentle cleanser and pat it dry with a clean towel.

  • Avoid Tight-Fitting Clothing: Wear loose-fitting clothing made from breathable fabrics.

  • Limit Sweating: Shower after sweating, and avoid spending long periods in hot, humid environments.

  • Avoid Using Oily or Greasy Products: Choose non-comedogenic skincare products and makeup that will not clog pores.

  • Be Careful With Oral and Topical Steroids: These medications can promote the growth of Malassezia yeast, hence use it as told by the physician.

How to Differentiate Between Normal Acne and Fungal Acne?

It is difficult to differentiate between traditional acne and fungal acne because the symptoms can be similar. Normal acne tends to present as whiteheads, blackheads, and larger, inflamed pimples, while fungal acne presents as small, itchy bumps that may have a halo-like ring around them. Fungal acne also tends to persist despite the use of traditional acne treatments.

When to See a Doctor?

If individuals are unsure whether they have normal acne or fungal acne, or if their acne is not responding to traditional treatments, it is essential to visit a skin doctor for a customized treatment plan. In addition, if they experience any unusual symptoms, such as fever or severe itching, it is important to seek medical attention.

What Are Some Home Remedies for Fungal Acne?

While antifungal medications are the most effective treatment for fungal acne, there are some home remedies that may help to alleviate symptoms. These include:

  • Tea Tree Oil: This essential oil has antifungal properties and can be applied topically to affected areas.

  • Apple Cider Vinegar: This can be used as a toner which will help to maintain balance in the skin's pH and reduce the growth of Malassezia yeast.

  • Aloe Vera: This can help to soothe inflamed skin and promote healing.

Conclusion

This is common skin problem can be frustrating to deal with. However, with proper diagnosis and treatment, it can be effectively managed. By maintaining good skin hygiene and avoiding factors that can trigger the growth of Malassezia yeast, one can help to prevent fungal acne from developing or recurring. If individuals suspect that they have fungal acne, do not hesitate to seek medical attention to get the right treatment and ensure that their skin stays healthy and clear.

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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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