How Do I Know If I Have Fungal Acne
When fungal acne appears, many patients initially believe that the spots are typical acne, which is caused by pores clogged with oil and dead skin cells. It is important, however, to differentiate between typical acne and fungal acne because the treatments for each are very different. While typically acne can be treated using a salicylic acid cleanser, clearing and exfoliating the pores is not typically sufficient to treat fungal acne. It is best to seek a diagnosis and prescription from a board-certified dermatologist, such as Dr. Green, as she will be able to provide you with the best course of action for treatment. If you are at home, trying to differentiate between the two kinds of acne, some key differences are as follows:
- Location of pimples on the body Where bacterial acne occurs primarily on the face, fungal acne can occur on the chest, arms, shoulders, and upper back as well. This is especially true if your fungal acne is caused by moisture trapped in sweaty clothing
- Size While regular acne spots are varying in size and shape, fungal acne appears in uniform clusters, where each pimple is generally the same size.
- Clusters Unlike typical acne, which can appear randomly across the face, fungal acne appears clustered in one specific area of the face.
- Itching Bacterial acne does not usually itch, unlike fungal acne, which is often pruritic.
How Do I Know If Its Fungus Or Acne
A fungal infection like MF can look so similar to non-inflamed acne that it can be hard to tell the difference. The only way to know for sure if you have MF is to have it checked and examined under a microscope by a Doctor but here are some hints:
Does it itch?
Acne does not typically itch and MF does. The only time you will have itchy acne is if you have an inflamed acne lesion but that kind of itching is typically mild and doesnt last a long time. And if it is inflamed acne, it will be swollen, red, and maybe full of pus so it will look very different from the small uniform bumps that characterize MF.
Pattern
MF bumps tend to appear in clusters and are uniform in size whereas acne tends to be randomly distributed and appears in varying sizes.
Is there a head or a core?
All types of acne start with a little seed called a microcomedone that is made up of mostly dead skin cells so all of the 7 types of acne have a grain-like seed inside of or on the surface of the skin.
How To Prevent And Treat Fungal Maskne
Everybody needs to use a covid mask. That said, the type of mask is important.
The best prevention of fungal acne would be using cotton masks that are preferably infused with anti-fungal copper and silver. The treatment should include a gentle cleanser that has anti-fungal effects.
Cleansers with salicylic acid and green tea extract can be helpful and are readily available. Same as with other types of fungal acne, the use of Nizoral shampoo every other day is expected to be an excellent addition to your skincare routine.
The best over-the-counter treatment creams for maskne contain benzoyl peroxide and salicylic acid that are anti-bacterial and anti-fungal. Topical or antibiotics should be avoided.
Fungal acne/folliculitis can last for many weeks, months, or even years if not treated correctly. If treated with the right products, it can begin clear in as little as a few days, with significant improvement in just a matter of weeks. More severe cases may take longer but typically do respond with these same treatments.
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What Is Fungal Acne Anyway
We all have a magical ecosystem of microflora living on our skin. What is that? Bacteria, yeasts and fungi! The good, the bad and the ugly living in harmony together on your skin. Untildysbiosis occurs. How does this happen? Well, there are a number of possibilities which may lead to the skin responding in a way that shows up as red, itchy acneic looking skin. This fungus then feeds on oil on our skin and inside our pores including other oils or oil-rich ingredients that are applied to the skin. Yes! Your products that you thought were helping solve the problem could very well be perpetuating it.
What Are The Causes Of Fungal Acne

Fungal acne is caused by yeast overgrowth on the skin. This yeast is always present on your skin along with many different varieties of bacteria. Normally, the yeast and the bacteria balance each other out in the skin. However, if yeast growth exceeds the amount of the bacteria on the skin or the bacteria is somehow diminished , folliculitis, an infection of the hair follicles, can develop, leading to fungal acne. Malassezia yeast growth is accelerated in warm, moist environments, which is another of the many risk factors that can contribute to the development of fungal acne. The yeast on your skin also feeds off of the oil and sebum produced on your skin, meaning that fungal acne is also more likely to occur on oily skin or in places where oil production on your skin is high.
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What Is The Best Skin Care To Treat Fungal Acne
If you are not familiar with fungal acne, you may mistake it for traditional acne and try to treat it at home using products made for traditional acne. Not only will products made specifically to treat acne vulgaris not be effective on fungal acne, they can actively make fungal acne worse. The first step to determining the best skin care for fungal acne is to make sure you have the right diagnosis. If you make an appointment with Dr. Green, she will easily be able to diagnose your fungal acne and create a treatment plan. It is important to treat fungal acne with the products specifically meant to treat fungal or yeast infections. Those products range from topical creams applied to the skin such as Nizoral or Clotrimazole cream, dandruff shampoos like Selsun Blue, or oral medication such as Fluconazole.
Medications Which Cause Fungal Infections
Uncontrolled yeast growth, or an imbalance between the amount of yeast and bacteria that occur on your skin, can also be a side effect of certain medications. Oral antibiotics, for example, are prescribed to kill bacteria in your body that are making you sick. However, antibiotics can also kill the good bacteria that is serving a positive purpose, like the bacteria on your skin. When this good bacteria is reduced, there is an imbalance between the bacteria and the yeast on your skin which can lead to Malassezia folliculitis. Using skincare products that contain high amounts of oil, such as coconut oil, can further feed the growth of fungal acne and clog pores.
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Does Apple Cider Vinegar Help Fungal Acne
You can try Apple cider Vinegar, as its with antimicrobials, and is a well-known treatment for any kind of fungal infection. Drinking diluted apple cider vinegar may help kill off infections while preventing them from spreading, and increasing recovery time. You can even use it as a toner after cleansing your face.
What Is Fungal Acne Symptoms Causes Treatments
Fungal acne comes from the Malassezia yeast that normally lives on the skin. It is not true acne, and common acne treatments often make it worse. You can have both types of acne at the same time. Fungal acne breakouts are often itchy and made up of small bumps, usually on the chest, back, and shoulders. Treatment often includes a combination of habit modifications, over-the-counter creams/shampoos, and prescription oral antifungal pills.
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Make Body Wipes A Gym Bag Staple
A body wipe-down after a workout session is both refreshing and helpful in fending off breakouts. Keep a stash of body wipes in your gym bag to encourage a habitual routine of wiping away sweat and oil, at least until you can get to a shower. Salicylic acid wipes, in particular, may help reduce the potential of clogged pores and are ideal for acne-prone, sensitive skin types.
Benefits Of Nizoral For Acne
Anyone who has experienced acne symptoms may easily mistake fungal acne for bacterial acne, which isnt surprising as they can look similar, each resulting in texture on or just under the surface of the skin.
- Treats fungal acne: If youre struggling with stubborn acne symptoms that dont seem to budge using products marketed to treat acne, you may find some relief with anti-fungal products like Nizoral with the help of your doctor.”A condition called pityrosporum folliculitis that is caused by the fungus that causes dandruff,” explains Patel. “Overgrowth of this organism on the scalp can spill down onto the forehead, hairline, face, behind the ears, and down the back. It presents as small bumps on the skin and even tiny clogged pores.”
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Whats The Best Fungal Acne Routine
As with any skin condition, the best way to tackle fungal acne is from the inside and the outside. Outside approaches can give you more immediate symptom relief, while inside approaches help you to create a longer-term resolution.
With fungal acne, the goal of both the inside and outside approaches is to minimise Malassezia overgrowth and rebalance the skin microbiome. Dont worryits much simpler than it sounds!
Lets explore the simple steps you can take:
1) Balance your blood sugar
If youve read my other articles, youll know that this is my number-one tip for clear skin, no matter your complexion woes.
When your blood sugar is up and down, it leads to surges of insulin. These surges of insulin start a hormonal cascade that winds up making your skin oilier . And you how Malassezia loves to feed on skin oil.
Balancing your blood sugar is easy. It means:
Eating some protein or healthy fat with every meal
Choosing wholegrains instead of white grains, and cutting down on sugar
Loading up on fibre-rich vegetables and fruit
Eating a blood-sugar-balancing meal isnt going to solve your fungal acne overnightbut, over time, its an essential step in shifting that environment.
2) Optimise your microbes
We dont know exactly how, but we know that the microbes in your gut and the microbes on your face are connected. That means that optimising your microbes on the inside can help to shift your microbes on the outside.
3) Support your immune system
Eating well
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“This shampoo contains salicylic acid, which helps remove excess oil from the skin and exfoliate dead cells,” says Dr. Zeichner. “Once you get your fungal acne under control, you can use this product as a body wash to lower the risk of recurrence. Removing excess oil from the skin will create an inhospitable environment for yeast to grow.”
Here’s how to deal with adult acne:
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How To Prevent Fungal Acne
1. Keep yourself clean and dry at all times. Use a high absorbent towel to dry yourself after baths. Use powder to prevent excess sweat.
2. Wash immediately after workouts. Avoid staying in sweat soaked clothes for longer hours.
3. Avoid activities that involve long exposures to water.
4. Wash your clothes, socks, bedsheets, etc. in antifungal or antiseptic detergents.
5. Use antifungal skincare products and shampoos.
6. Wear loose fitting clothes, antimicrobial, breathable socks. Avoid closed or tight footwear.
7. Do not share towels or any other personal use itineraries.
8. If you have a weak immune system or are prone to fungal infections, apply coconut oil or antifungal ointment before entering public baths, saunas or swimming pools. This will form a protective layer over your skin and prevent the invasion of pathogens.
Niacinamide 10% + Zinc 1%
This formula is designed to battle congestion, reduce the appearance of blemishes, and keep excessive sebum at bay. However, it is not a spot treatment for acne. This is more about reducing appearance of acne scars and keeping the t-zone free of those pesky clogged pores and blackheads.
Users also reported less visible pores and smoother texture to skin. If you use vitamin C, dont use them together. This formula can compromise your Vitamin Cs integrity, so its best to alternate days.
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What Do Fungal Acne Symptoms Look Like And How Do I Know If My Acne Is Fungal Vs Bacterial
The bacterial or hormonal acne youre probably used to typically consists of pus-filled bumps or cysts. Regular acne breakouts vary in size and also tend to feature blackheads or whiteheads on the face, Dr. Chung says.
But what does fungal acne look like? Youll usually notice the following symptoms, Dr. Rodney says:
- Small, even-shaped bumps
- Bumps that usually appear on the forehead or on the upper portion of the back
Dr. McKenzie emphasizes that fungal acne will usually appear as uniform inflamed or reddened bumps and pustules on the chest, upper arms, and backrarely the face, but sometimes the forehead. Also, the bumps that result from malassezia dont usually come to heads. And, perhaps most noticeably, she adds that fungal acne breakouts will be itchy. Typical bacterial acne can be itchy sometimes, she says, but not that much.
When To Contact A Dermatologist
Its best to contact your derm to get a legit diagnosis before you do anything especially if things arent looking up with OTC options or are worsening.
Your derm will be able to confirm you have fungal acne, determine the severity, and give you prescription treatment options if they decide you may benefit from them.
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Resveratrol 3% + Ferulic Acid 3%
A high powered antioxidant blend. Antioxidants in skincare products promote youthfulness: even toned, well rested, firmer, less wrinkled skin.
The Ferulic Acid essentially boosts the effects of the Resveratrol. This little elixir needs to go on alone or after water-based formulas, but before heavier creams & oils. I prefer to use it alone, let it soak in, and then put on my PM moisturizer. Ive been using CeraVe Moisturizing Cream
Can Covid Masks Cause More Fungal Acne
Yes, they do. The best environment for fungi is humid, warm places. The mask’s area acts as an incubator, providing the best environment for the skin fungi to flourish and cause acne breakouts under the mask. The fungi that accumulate on the skin under the mask and in the hair follicles clog the skin pores and trigger redness and inflammation.
The single-use surgical masks, made of plastic and other synthetic cloth masks, increase the heat and humidity in the moist environment under the masks and increases the risk for maskne.
Using antibiotics to treat pimples under the mask can paradoxically crease the risk for fungal maskne. Topical antibiotics such as erythromycin or clindamycin and oral antibiotics minocycline and doxycycline destroy the bacteria allowing fungi to overgrow and take their place.
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How To Tell If You Have Fungal Acne
So, how can you tell if you have fungal acne instead of bacterial acne? Here are three warning signs to look out for:
If you suspect youre dealing with fungal acne, go to your doctor for a proper diagnosis. Tell your doctor to extract a pustule with a comedones extract and examine the crap inside it.
This is super important. Most doctors just do a biopsy on the surface of the skin. If malassezia is hiding in the pore, this superficial biopsy wont detect it and your doctor will likely treat you for bacterial acne!
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Causes Of Fungal Acne
So why does fungal acne happen? As with regular acne, it could be a lot of things. Certain medications or environmental factors can upset your bacterial balance. For example, antibiotics, used either systemically or topically, can deplete bacteria on your skin and the yeast can then grow unchecked, leading to fungal acne, says Dr. King. Same goes for wearing tight, non-breathable clothing , as it creates a moist environment for yeast to flourish.
Unfortunately, some people are just genetically predisposed to overgrowths of yeast and experience fungal acne more frequently. Certain chronic conditions that affect your immune system, like diabetes and HIV, can also leave you more vulnerable to the condition.