February 22, 2021 7 min read 0 Comments
Usually, when we think of acne, we think of bacteria induced inflammations. However, acne can also be caused by fungal infection. As a result, they are left with persistent bumps that do not go away no matter what they try.
Did you know that we all have fungus on our skin as part of its natural composition? Did you also know that it can look similar to an acne breakout when the fungus gets out of control and causes a yeast infection?
The fungus which causes the acne-like bumps (Pityrosporum folliculitis) is called Malassezia. This term is usually difficult to memorize, so we will refer to this skin condition as fungal acne even if it isn't technically a type of acne. Acne-like bumps that's caused by a fungus infection appears as small red bumps or closed comedones that appear as cluster of whiteheads that are usually on the t-zone since it feeds off of sebum.
Here's how to tell if you have fungal acne and the common ways to treat it.
WHAT IS FUNGAL ACNE?
Afungal acne is a type of infection found in your skin’s hair follicles that commonly appears as small pimples and pustules on the chest, upper arms and back. It is often left with persistent bumps that do not go away with conventional acne treatments.
Fungal acne is often confused for regular acne or acne vulgaris, but it is different type of skin condition that doesn't respond to acne treatments like topical antibiotics or benzoyl peroxide.
Fungal acne doesn't vary much in shape or size. This skin condition is often thought of to be a misnomer and misdiagnosed as acne which is caused by bacteria and blocked pore - when in fact it’s a type of fungal infection in the skin’s hair follicles.
If you have these skin conditions, it's likely you may have fungal acne too.
These skin conditions are related to Malassezia. They include eczema, dandruff, seborrheic dermatitis, and Psoriasis. This type of fungal skin infection will not respond to traditional medications for bacteria acne such as topical antibiotics, and benzoyl peroxide. It is actually advised against to take any kind of antibiotics because both bacteria and fungi exist together to utilize the same resources from our body. If there are not enough bacteria to compete with the fungi, the fungi will outgrow the bacteria, causing a yeast infection. If you suspect that you might be suffering from fungal acne, it is recommended to get it checked out by a dermatologist to confirm it.
A lot of people may be asking, “what really causes fungal acne and how is it not to be confused with a regular or a bacterial acne?”
Here are some common causes of fungal acne development:
1. Yeast infection - An overgrowth of yeast can lead to development of fungal acne. This could be caused by antibiotic use, or an imbalance between our healthy bacteria and natural yeast found on our bodies.
2. Trapped moisture - Wearing sweaty clothes for a long period of time and not changing right away or wearing clothing that is not breathable can lead to development of fungal acne by trapping the moisture and oils within and encouraging yeast growth.
3. Medication - Taking medications such as antibiotics is strongly discouraged as it can allow overgrowth of fungus although it can reduce bacteria on your skin.
4. Suppressed immune system - If you're the type of person with a weakened immune system, you're most likely at risk of developing a fungal acne. Thoughanyone can get a fungal infection, those who have weak immune systems are more prone to acquire them.
5. Carb rich diet - It's important to balance one's intake of refined carbs and increase fiber rich foods as it helps slow fungal growth.
6. Warm, moist environments - Humid climates are also a great factor for development of fungal acne. Those who live in places known for their hot climates are highly at risk of experiencing fungal acne more frequently.
Since the fungal infection appears similar to bacterial acne, there are many people with a fungal infection that develop acne-like bumps who falsely diagnose themselves with bacterial acne and are using medications that do not treat their fungal acne at all. Therefore, it is important to visit a professional in order to get tested for it and get the proper treatments. If you realize that you do have fungal acne, it is important to avoid creating a moist environment on your skin as fungus thrives in moist environments. You can still apply hydration on your skin, but avoid occlusives. It is also important to avoid products with ferments as it may trigger the growth of more yeast. The last thing to avoid is products with long fatty acid chains such as oils, since Malassezia feeds on them, especially in areas on your face where you are the oiliest with the most sebum production.
People often confuse fungal acne with acne vulgaris or bacterial acne and without their knowledge on its differences, they may treat it with regular acne skin care options that could possibly make the infection worse.
So, how do we know or determine if our acne is a fungal type of acne or not? One big different to tell if your acne is fungal, is if it gets frequently itchy unlike that of regular acne.
1. Size - Fungal acne tends to appear like small pus-filled bumps and tend to be nearly the same size throughout whereas a bacterial acne can cause pimples and whiteheads of varying sizes.
2. Location - Fungal acne doesn't appear as often on the face, and more often on the arms, chest and back.
3. Itching - Another difference between fungal acne and bacterial acne would be the itchiness. Fungal acne causes itchiness while bacterial acne does not.
4. Clusters - You would know that your acne is a fungal type if it often appears in clusters of small whiteheads unlike that of a bacterial acne which is less clustered and more spread out.
Treating fungal acne is not the same as treating regular acne – fungal acne won't respond to most acne treatments, in fact some such as antibiotics may even make fungal acne worse.
Some things that you can apply on to your skin to help with the fungal acne are aloe vera, clay masks, diluted tea tree oil, diluted apple cider vinegar, Sulphur, tretinoin, zinc oxide, zinc pyrithiome, 1% clotrimazole, salicylic oil and antifungal shampoos containing ketoconazole. Try using these products to treat your fungal acne and see if it gradually diminishes. Remember to always patch test these products on a small area of your skin so you know will know if any ingredients are irritating your skin before you put it all over your face. Otherwise, you may be making your skin worse without even realizing it and although you have treated your fungal infection, now you would have a new problem dealing with breaking out from an ingredient your skin is allergic to. If your skin does not react to anti-fungal treatments at all, that means that your acne is not caused by fungal infection and should consult your dermatologist on what may be causing it.
HOW TO TREAT FUNGAL ACNE
Fungal Acne needs to be treated with antifungals, with avoidance of antibiotics and antibacterial cleansers. Eliminate topicals that contain oils so look for oil free products, and try to shower or change out of your clothes as soon as you can if you've sweated.
Anti Dandruff shampoos -Dandruff shampoos may be recommended such as Nizoral or Selsun, with the main active ingredient zinc pyrithione. Anti dandruff shampoos should be in contact with the part of the body that needs to be treated for 5 minutes before rinsing.
Athlete's foot cream -An over the counter athelete's foot cream can also be used for some types of fungal acne, and the main anti-fungal ingredient is called clotrimazole.
Anti Fungal Prescriptions: If over the counter methods aren't working, you can see a professional for a prescription. There are at least 2 prescribed medications for treating fungal acne: Fluconazole and Ketoconazole.
Fungal Acne Home Remedies
If you want to try home remedies instead Here arehome remedies that would aid in keeping those fungal acne at bay:
Lactobacillus – This home remedy produces lactic acid that could control yeast production. Taking lactobacillus supplements may help with reducing fungal overgrowth.
Honey– Honey is known for its antimicrobial properties, making it one of the recommended home remedies for treating fungal acne and studies show it's effective against a form of fungal acne. Use Manuka Honey for this and leave on for 3 hours.
Tea tree oil– Tea tree oil also contains antimicrobial properties like honey and it also has anti fungal properties. Dilute it first in water before applying it to areas with fungal acne.
Sulfur - Sulfur can reduce Malassezia on the skin and sulfur is good at absorbing and reducing skin oils. Look for skincare products that contain sulfur and are oil free.
Apple cider vinegar– May work as treatment due to its antifungal properties and pH balancing properties as some people with eczema may have a high skin pH. You can mix 2 tablespoons of ACV in 2 cups of water and dab the mixture as a toner on affected areas.
Fungal acne unfortunately can reoccur and can take months of persistent treatment to really manage it. However, there are ways to help keep fungal acne or Malassezia folliculitis at bay by simply following these do’s & don’ts.
I’ve recently self-diagnosed myself with fungal acne as I have never had small red closed comedones all over my forehead despite not having many changes in skin care, diet, and lifestyle. I began learning about the causes and discovered fungal acne. Then I started using over the counter anti-fungal products to see if they made a difference and my bumpy skin returned to normal after only a few weeks. I am still continuing with the ketoconazole shampoo and the occasional clotrimazole cream to try to completely eradicate the fungal infection before I add more products into my skincare routine.
Differentiating fungal acne from regular acne can be quite tricky so it's best to check with a dermatologist if you can. Delaying with the proper treatment could cause fungal acne to worsen.
Fungal acne requires different treatment protocols and does not respond to typical acne treatment. We hope that this guide has helped you learn more about fungal acne and how to manage it.
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