21 Nov What is Fungal Acne and How to Treat It

If you’ve been dealing with acne-like bumps that just won’t go away, you might actually be dealing with something called fungal acne. Unlike regular acne caused by bacteria, fungal acne is a skin condition triggered by an overgrowth of yeast. Let’s dive into what fungal acne is, what causes it, and how to get rid of it effectively.

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What is Fungal Acne?

Fungal acne, also known as Malassezia folliculitis, looks a lot like regular acne but has a different root cause. Instead of bacteria, fungal acne is caused by an overgrowth of yeast (a type of fungus) on the skin. Yeast naturally lives on our skin, but when too much is present, it can infect hair follicles and lead to itchy, small, uniform bumps that resemble pimples.

One common misconception is that fungal acne looks like large, painful pimples. In reality, fungal acne typically appears as clusters of small, red or skin-colored bumps, often on the forehead, chest, and back. It’s usually itchy and can worsen in hot, humid environments where sweat and oil are present. So, if your usual acne treatments aren’t working, you might actually have fungal acne.

What Causes Fungal Acne?

There are a few factors that contribute to the development of fungal acne:

• Excessive Sweating: Sweat can create a moist environment on your skin, which allows yeast to multiply more easily. If you work out often or live in a hot, humid climate, you may be more prone to fungal acne.
• Tight Clothing: Wearing tight clothing traps heat and moisture close to the skin, which can encourage yeast growth. This is why fungal acne often appears on the back, shoulders, and chest.
• Oily Skin and Products: Yeast feeds on oil, so oily skin and certain skincare products can worsen fungal acne. Using heavy, oil-based creams or greasy products might make the condition worse.
• Weak Immune System or Antibiotic Use: If you’re on antibiotics, they can kill off the good bacteria that keep yeast levels balanced, allowing yeast to grow unchecked. Similarly, a weakened immune system can make it harder for your body to keep yeast in check.

How To Get Rid of Fungal Acne

Treating fungal acne isn’t the same as treating regular acne. Traditional acne treatments often target bacteria, but with fungal acne, you need to focus on reducing yeast. Here are some effective fungal acne treatments to consider:

1. Use Anti-Fungal Treatments

The first step to treating fungal acne is to use an anti-fungal solution. Look for over-the-counter anti-fungal creams containing ingredients like ketoconazole, clotrimazole, or selenium sulfide. You can also try an anti-dandruff shampoo with these active ingredients. Apply it as a mask to the affected area for 10-15 minutes before rinsing. Repeat this process a few times a week until you see improvements.

2. Switch to Lightweight, Oil-Free Products

Since yeast feeds on oil, it’s best to use oil-free and lightweight skincare products while dealing with fungal acne. Check your moisturizers, sunscreens, and makeup, and make sure they’re labeled as “non-comedogenic” or “oil-free.” Avoid thick, greasy lotions or heavy oils that can clog pores and make fungal acne worse.

3. Shower and Change After Sweating

If you sweat a lot, showering soon afterward can help wash away excess oil and sweat that might otherwise feed the yeast. Be sure to change out of sweaty clothing quickly, especially if you’re wearing tight, non-breathable fabrics.

4. Wear Breathable Fabrics

Choose loose, breathable fabrics like cotton that allow airflow to your skin. This can prevent the moisture buildup that yeast thrives on. Avoid tight, synthetic materials, especially in warmer weather, to help reduce the risk of fungal acne.

5. Consider Oral Anti-Fungal Medication

In more severe cases, where topical treatments don’t seem to work, a dermatologist may recommend an oral anti-fungal medication. Oral medications target yeast from within and can be very effective, but they should only be used under medical supervision.

Home Remedies for Fungal Acne

While over-the-counter and prescription treatments are generally the most effective, some people find relief with simple home remedies. Here are a few you can try:

• Apple Cider Vinegar: Dilute apple cider vinegar with water (1:1 ratio) and apply it to the affected area with a cotton pad. Its acidic nature may help balance the skin and reduce yeast growth. However, be cautious as it can be irritating to sensitive skin.
• Tea Tree Oil: Tea tree oil has anti-fungal and anti-inflammatory properties. Dilute it with a carrier oil (like jojoba oil) and apply a small amount to the affected area. Remember, undiluted tea tree oil can be too strong, so always patch-test first.
• Green Tea: Brew green tea, let it cool, and apply it to the affected area with a cotton ball. Green tea contains antioxidants and anti-inflammatory compounds that can soothe the skin and help with yeast overgrowth.

How To Prevent Fungal Acne

Once you’ve managed to get rid of fungal acne, it’s essential to take steps to prevent it from coming back. Here’s how:

• Keep Skin Clean and Dry: Regularly wash your skin, especially after sweating, and try to keep it dry as much as possible. This will reduce the moist environment that allows yeast to grow.
• Avoid Heavy Skincare Products: Stick with lightweight, oil-free products that won’t clog your pores or provide a breeding ground for yeast. Look for products labeled as “non-comedogenic” to be safe.
• Manage Humidity and Heat: In hot, humid weather, try to keep cool and dry. If possible, use air conditioning or fans to prevent sweating and moisture buildup on your skin.
• Practice Good Hygiene: Fungal acne can sometimes be contagious, especially if you share personal items like towels or gym equipment. Be sure to wash items regularly and avoid sharing with others to reduce the risk of spreading.

When to See a Dermatologist

If you’re dealing with persistent fungal acne that doesn’t improve with over-the-counter treatments or lifestyle changes, it may be time to see a dermatologist. A professional can properly diagnose the condition and recommend prescription treatments like stronger anti-fungal creams or oral medication.

Final Thoughts

Fungal acne can be frustrating, especially if you’ve been treating it as regular acne without any luck. But the good news is, once you understand what fungal acne is and how to treat it, you can take effective steps to clear it up. By using targeted treatments, avoiding heavy products, and maintaining good hygiene, you’ll be well on your way to clearer, healthier skin.

So, if you’re looking for answers on how to treat fungal acne, try the steps outlined above, and remember to consult a dermatologist for persistent cases. With the right care and prevention, you can keep fungal acne under control and enjoy smoother, more comfortable skin.

For more information:

1. https://dermnetnz.org/topics/malassezia-folliculitis
2. https://www.webmd.com/skin-problems-and-treatments/acne/what-is-fungal_acne

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Last Updated on November 21, 2024 by Marie Benz MD FAAD