How To Get Rid Of Fungal Acne?
If your acne is persistent and unresponsive to treatments, then it is likely fungal acne. It differs from the common type of pimples, acne vulgaris, and thus requires an expert diagnosis. There are several ways to prevent it and specific treatments to get rid of it. Learn all that you need to know about fungal acne in this article, so you get the proper treatment from an expert.
What is Fungal Acne?
Fungal acne, known as malassezia (Pityrosporum) folliculitis, occurs due to yeast (a type of fungus) overgrowth in the skin’s hair follicles. It is often misdiagnosed as acne vulgaris, the most common type of acne, but it is different and requires specific treatments. Otherwise, it can persist for years. Breakouts resulting from fungal acne can cause irritated and itchy skin, which is stressful.
What does Fungal Acne Look Like?
At first glance, fungal acne may appear similar to other pimples, where you will notice 1-2mm elevated red, pinkish bumps, papules or pustules. They come in waves and are itchy. Fungal acne mainly occurs on the upper chest, forehead, frontal hairline, and temples.
Fungal Acne vs Acne Vulgaris
Here are the differences between fungal acne and acne vulgaris:
Fungal Acne | Acne Vulgaris |
Caused due to yeast overgrowth | Caused due to clogged pores |
Causes skin itching | No itching |
Not treatable with antibiotics | Treatable with antibiotics |
Occurs on the chest, forehead and back | Face, chest and neck |
These pus-filled pimples are more or less the same size | Pimples are of varying size |
They appear as clusters | They appear as individual pimples on the skin |
Additionally, fungal acne may lead to dandruff and psoriasis.
It is critical to note that acne vulgaris and fungal acne are two distinct conditions, thus, require different treatments. There is also a high chance that regular acne treatments could worsen fungal acne.
Causes of Fungal Acne
Yeast and bacteria are present in our skin in balanced amounts. When there is a yeast imbalance, it results in fungal acne. This overgrown yeast infects hair follicles in the skin and causes itchy and clustered acne.
Various conditions that may disturb fungal natural balance are:
- Medicines: Medicines like antibiotics may reduce the bacteria in your skin but trigger fungal overgrowth, leading to fungal acne.
- Locked Moisture On The Skin: Prolonged use of sweaty clothes without washing them promotes yeast growth. When your skin is in contact with unclean clothing, it can result in fungal acne.
- Certain Climatic Conditions: Those living in hot and sweaty climates are more prone to fungal infections.
- Tight Clothes: Wearing unbreathable clothing frequently might lead to increased sweating, which causes rapid yeast development.
- Weakened Immune System: The likelihood of developing fungal acne may be higher in people with a weakened immune system.
- Dietary Choices: Fungi thrive on carbohydrates. Over consuming carbo-rich foods can thus worsen your fungal infection.
Symptoms of Fungal Acne
The following are the symptoms of fungal acne to help you identify them and seek immediate help:
- They are itchy
- They appear as clusters and are often of the same size
- Some people may also experience dandruff and psoriasis
Home Remedies for Fungal Acne
The following are some home ingredients known to offer relief from fungal acne. Note that their efficacy is only anecdotal and not scientifically proven:
- Turmeric
- Black pepper
- Ginger
- Guava leaves
- Avocado leaves
NOTE:
The efficacy of these home remedies is not scientifically proven and all evidence is anecdotal. Please remember that every individual’s skin type is different and thus, the impact of any treatment also varies. We strictly recommend that you visit a qualified dermatologist and get a consultation before trying out any home remedies as it may worsen your skin condition.
Treatment Options Available for Fungal Acne
It is best to consult a dermatologist to ensure that your fungal acne is properly diagnosed and you receive the correct treatment. They may recommend dandruff shampoos with pyrithione zinc and selenium sulphide. There are also many OTC antifungal creams and ointments available for fungal acne. Look for items that contain butenafine, clotrimazole, or ketoconazole.
EXPERT ADVICE
Your dermatologist may advise oral azole antifungal medications, such as fluconazole, for severe cases. They may combine chemical peels, which cause exfoliation to minimise sebum production, with medicines for the best results. Antifungal treatments may take several weeks to work, and it’s important to continue them for a sufficient amount of time, as Malassezia can be persistent and difficult to completely eradicate. Chances of recurrence can reduce with regular use of OTC antifungal shampoos. Please follow the doctor’s prescription strictly to avoid side effects.
Remember that every individual’s skin is unique and their skin concerns occur for various reasons. A doctor will identify the cause and give you the necessary treatment.
Must Read: Acne Treatment
When To Visit A Dermatologist For Fungal Acne?
Ideally, you should visit a dermatologist as soon as you notice clustered, itchy pimples. But do not delay your consultation if they persist for more than 2 weeks.
Prevention Tips for Fungal Acne
You may not be able to avoid fungal acne entirely, but taking certain precautions can reduce the chance of its occurrence:
- Wear airy, breathable clothes
- If you have a dandruff-prone scalp, then make sure you use an anti-dandruff shampoo and keep your scalp clean
- Change to clean clothes immediately after a workout or any activity that results in sweating
- Maintain a healthy lifestyle by eating well-balanced meals and engaging in physical activity
EXPERT ADVICE
One of the most effective treatments for fungal acne is to reduce the sebum build-up. An oil control facewash and mild non-comedogenic moisturiser can help manage fungal acne.
Conclusion
We trust that you now understand the key aspects of fungal acne, which is often mistaken for acne vulgaris, the more common type of pimple. We recommend you visit a dermatologist as soon as you see signs of fungal acne for the right diagnosis and treatment.
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970831/https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465279/
https://www.nhs.uk/medicines/clotrimazole/about-clotrimazole-cream-spray-and-solution/
https://www.ncbi.nlm.nih.gov/books/NBK559221/