Clinically proven and safe fungal acne treatments to restore your healthy skin!
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You would be surprised to learn that technically, there is no such thing as fungal acne despite it being a common term used. 'Fungal acne' is a misnomer and is often confused for acne vulgaris. Many individuals may indeed be suffering from fungal acne instead and often realize that treatment with oral antibiotics are unhelpful to manage their condition.
Fungal acne describes the infection of the pilosebaceous unit by the Malessezia furfur yeast species. These yeast, which are normally present on human skin, can feed on the sebum and cause skin conditions such as Malassezia folliculitis or Pityrosporum folliculitis (aka Fungal acne), Seborrhoeic dermatitis and Pityriasis versicolor.
In contract to acne vulgaris, one would find colonization by the Cutibacterium acnes bacterium species. Over here, we will share the distinguishing factors between the 2 and treatment options.
The Malessezia yeast species can proliferate and cause symptoms when conditions are ripe. Factors that encourage the Malessezia species to thrive include heat, humidity and moisture. These include:
Fungal acne or Malessezia folliculitis manifests as multiple small, uniform papules and pustules. The duration of symptoms are often more than 2 months. One often complains of itch that if severe, might affect sleep. Fungal acne is most often located on the back, chest, neck and shoulders. One of the key distinguishing factors, is the lack of the presence of open and closed comedomes typically seen in acne variants.
Most cases can be diagnosed based on history and examination finding. A skin scrapping test to determine the presence of the yeast organism may be performed in cases that are not straightforward.
Antifungal Medications: The cornerstone of treatment includes topical antifungals such as ketoconazole, itraconzole and clotrimazole. In more severe cases, oral antifungal agents like fluconazole may be prescribed. These medications target the Malassezia yeast directly, helping to reduce inflammation and clear the lesions.
Skin Care Adjustments: Patients are advised to discontinue the use of heavy, oil-based products that can exacerbate fungal growth. Instead, opting for non-comedogenic and lightweight formulations is crucial. Regular cleansing with gentle, antifungal cleansers can help maintain a balanced skin environment.
Lifestyle Modifications: Managing factors that promote fungal overgrowth is essential. Recommendations include:
Education and Monitoring: It is vital to educate patients about the differences between fungal acne and traditional bacterial acne to prevent misdiagnosis. Continuous monitoring during treatment ensures effectiveness and allows for adjustments as needed.
Unfortunately, fungal acne or Malessezia (Pityrosporum) folliculitis is known to recur despite treatment. Retreatment may be necessary if symptoms are bothersome and affect your daily activties. Here are some tips to reduce the recurrence of fungal acne:
Dr. Moses Ng is a distinguished professional in the field of aesthetic medicine, renowned for his expertise in advanced cosmetic procedures. With over 15 years of experience, extensive training and a keen eye for detail, Dr. Ng specializes in a wide range of treatments, including injectables, laser therapies, and acne scar management.
Dr. Moses Ng’s commitment to excellence and patient-centric approach have earned him a reputation as a trusted clinician in aesthetic medicine. His continuous pursuit of the latest advancements in the field ensures that his patients receive the highest standard of care and the most effective treatments available.
