Fungal Acne in Teens: Symptoms & Treatment
Specialized care and habit changes targeting yeast overgrowth for smoother teenage skin.

Introduction
Fungal acne, also known as Pityrosporum folliculitis or Malassezia folliculitis, is a skin condition that can be particularly challenging for teens to manage. It is often mistaken for bacterial acne due to its similar appearance, but it is caused by an overgrowth of yeast on the skin, specifically Malassezia. This type of acne is typically characterized by itchy, uniform bumps that can appear on the face, chest, back, and shoulders.
Causes of Fungal Acne
Fungal acne is not caused by oil and bacteria in pores, like traditional acne. Instead, it occurs when there is an imbalance in the natural yeast on the skin, leading to an overgrowth of Malassezia. Several factors can trigger this imbalance:
- Trapped Moisture: Wearing sweaty workout clothes for extended periods or living in hot, humid environments can encourage yeast growth.
- Medications: Antibiotics can disrupt the natural balance of skin flora, allowing yeast to proliferate.
- Suppressed Immune System: Teens with weakened immune systems are more susceptible to fungal acne.
- Diet Changes: Consuming high amounts of carbohydrates can feed yeast growth.
- Tight Clothing: Non-breathable clothing can create a warm, moist environment conducive to yeast overgrowth.
Symptoms of Fungal Acne
The symptoms of fungal acne include:
- Itchy Bumps: The bumps are often itchy and can be surrounded by redness.
- Uniform Appearance: The bumps are typically similar in size and shape.
- Location: Commonly found on the face, upper back, upper arms, chest, shoulders, and neck.
Diagnosis of Fungal Acne
Diagnosing fungal acne involves a combination of clinical examination and laboratory tests:
- Clinical Examination: A dermatologist may use a Wood’s lamp to observe the skin under black light, as Malassezia yeast may glow yellow-green.
- Microscopic Examination: Scraping skin cells for microscopic examination can reveal Malassezia yeast.
- Skin Biopsy: In some cases, a skin biopsy may be performed to confirm the diagnosis.
Treatment of Fungal Acne
Treating fungal acne requires a different approach than traditional acne. Common treatments include:
- Antifungal Medications: Topical or oral antifungal medications are used to reduce yeast growth.
- Lifestyle Changes: Avoid tight clothing, reduce sweating, and use breathable fabrics.
- Skincare Routine: Use gentle, non-comedogenic products to avoid clogging pores.
Differences Between Fungal and Bacterial Acne
Type of Acne | Cause | Symptoms | Treatment |
---|---|---|---|
Fungal Acne | Overgrowth of Malassezia yeast | Itchy, uniform bumps | Antifungal medications |
Bacterial Acne | Bacteria clogging pores | Pustules, cysts, blackheads | Antibiotics, retinoids |
Frequently Asked Questions (FAQs)
Q: Is fungal acne contagious?
A: No, fungal acne is not contagious. It is an overgrowth of yeast that naturally occurs on the skin.
Q: What is the best way to prevent fungal acne?
A: Maintaining good hygiene, wearing breathable clothing, and using antifungal treatments can help prevent fungal acne.
Q: Can I treat fungal acne like regular acne?
A: No, fungal acne requires antifungal treatments rather than traditional acne treatments, which can exacerbate the condition.
Q: How long does it take to treat fungal acne?
A: Treatment duration varies but typically ranges from a few weeks to several months, depending on the severity and response to treatment.
Q: Can dietary changes help manage fungal acne?
A: Yes, reducing carbohydrate intake and maintaining a balanced diet can help manage fungal growth.
References
- https://www.webmd.com/skin-problems-and-treatments/acne/what-is-fungal_acne
- https://www.healthline.com/health/all-about-fungal-acne
- https://edermgroup.com/dermatology-blog/fungal-acne-vs-hormonal-acne-understanding-the-difference-and-treatment-options
- https://www.aurorahealthcare.org/services/dermatology/acne/fungal-acne
- https://health.osu.edu/health/skin-and-body/what-to-know-about-fungal-acne
- https://www.honeydewcare.com/blog/fungal-acne-causes-symptoms-and-treatment
- https://my.clevelandclinic.org/health/diseases/24341-fungal-acne
- https://www.goodrx.com/conditions/fungal-infection/fungal-acne
- https://my.clevelandclinic.org/health/diseases/12233-acne
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