Is “Fungal Acne” A Real Thing?

Ever dealt with stubborn breakouts that just won’t quit, no matter how many acne treatments you try? Surprise, it might not be acne at all! Say hello to Pityrosporum folliculitis, or more sassily, “fungal acne.” This sneaky impostor masquerades as regular acne but is actually caused by an overgrowth of the naturally occurring yeast Malassezia in your hair follicles. Before you go on another wild skincare goose chase, let's break down what fungal acne really is, what it’s not, and how to kick fungal acne to the curb for good. If you've been struggling with persistent breakouts, understanding fungal acne could be the game-changer your skincare routine needs.

What is it?

Pityrosporum folliculitis, also known as Malassezia folliculitis (or, more casually, “fungal acne”), is the overgrowth of the naturally occurring yeast, Malassezia, in your hair follicles.

What it’s not

IT'S NOT ACNE. Despite what you might think, this isn't your old run-of-the-mill acne. P. acnes bacteria and an overproduction of oil cause acne. “Fungal acne,” on the other hand, has a different culprit altogether.

Causes & Triggers

1. Oil Overload: If your skin's natural oil (sebum) or oil-rich creams have overstayed their welcome, it can lead to fungal acne.

2. Climate Concerns: Warm and humid environments are a breeding ground for this type of yeast.

3. Antibiotic Overuse: Long-term antibiotic use can kill off the good bacteria, allowing yeast to thrive.

4. Sweat It Out: Not washing your face after sweating or working out? Big mistake.

5. Clothing Choices: Tight clothes + no shower post-gym = a recipe for disaster on your skin.

6. Sweet Tooth: A diet high in sugar can be a trigger.

7. Health Factors: Conditions like diabetes might also play a role.

Appearance & Feel

• Visuals: Expect small whiteheads surrounded by redness.

• Texture: It presents a uniform rash-like appearance that can be annoyingly itchy or even burn.

Location

• Hot Spots: Oil-rich areas of the face and body, including the forehead, chin/jawline, back, and chest, are prime real estate for this pesky problem.

Signs You May Have Pityrosporum Folliculitis

First and foremost, if you think you can have this skin condition, I urge you to see a doctor and not self-diagnose or treat.

• Traditional Acne Treatments Failed: You've thrown everything at it, and it just won’t budge.

• Itchiness or Burning: If your breakouts come with an itch or burn, that’s a major red flag. Regular acne doesn't do that.

• Dandruff Drama: Got flakes on your scalp? That could be a clue.

• Antibiotics Didn't Help: If antibiotics were a bust, you might be fighting fungal acne.

• Chicken Skin Look-Alike: It can mimic the appearance of keratosis pilaris, aka chicken skin.

• Sensitive to Skincare Products: If it seems like everything you try causes a reaction, fungal acne might be the culprit.

• Oil Cleansers and Face Oils Make It Worse: Your favorite cleansing oil or face oil isn't helping; in fact, it’s making things worse.

• Forehead Frenzy: Those pesky bumps are popping up on your forehead.

How-To Treat

1. Prescription Medications:

   • Topical or Oral Anti-Fungals: Consult your dermatologist for prescription-strength topical or oral anti-fungal medications. These are powerful and directly target the yeast causing the issue.

2. Over-the-Counter Treatments:

   • Salicylic Acid (BHA): Known for its anti-inflammatory, anti-bacterial, and anti-fungal properties, salicylic acid helps unclog pores and reduce yeast growth. Look for it in cleansers, toners, and serums. The Paula’s Choice Skin Perfecting 2% BHA Liquid Exfoliant is GOAT.

   • Sulfur: This natural element has anti-fungal and antibacterial benefits, making it a great option for reducing fungal acne. Murad Rapid Relief Acne Sulfur Clay Mask With Salicylic Acid is a fantastic option.

   • Azelaic Acid: With its anti-inflammatory and anti-fungal properties, azelaic acid is another effective ingredient to incorporate into your routine.

   • Anti-Fungal Cream: While I generally don’t recommend putting foot cream on your face, Over-the-counter athlete's foot cream can be applied directly to the affected areas. They contain active ingredients that combat fungal growth.

3. Specialized Treatments:

   • Anti-Dandruff Shampoo: Surprisingly, anti-dandruff shampoos can be a game-changer. They contain active ingredients like ketoconazole, pyrithione zinc, or selenium sulfide. Use them as a face and body wash, applying and leaving them on for 3-5 minutes before rinsing off.

   • Pyrithione Zinc Cleanser: This specific type of cleanser can help keep the yeast at bay and prevent future breakouts.

4. Lifestyle & Dietary Changes:

   • Cut Down on Sugar & Carbs: High sugar and carbohydrate intake can feed the yeast, so reducing these in your diet can help manage and prevent fungal acne.

   • Oil-Free Moisturizer: Since oil can exacerbate fungal acne, opt for lightweight, oil-free moisturizers to keep your skin hydrated without clogging pores.

5. Natural Remedies:

   • Bentonite Clay: This natural clay helps to absorb excess oil and impurities from the skin, reducing the environment that allows yeast to thrive.