Fungal Acne: What It Is, What Causes It, and How to Treat It

What Is Fungal Acne?

Fungal acne may look like regular acne, but it’s actually a different skin problem with a different cause. Its real name is Malassezia folliculitis, and it happens when a type of yeast (a fungus) grows too much inside your hair follicles.

Unlike normal acne, which is caused by bacteria and clogged pores, fungal acne comes from too much yeast on the skin. That’s why regular acne treatments often don’t work, and can even make it worse.

How to Tell If It's Fungal Acne

Here are a few ways to recognize fungal acne:

  • Itchy, uniform bumps (often all the same size)
  • Usually appears on the forehead, chest, back, and shoulders
  • Tends to flare up in hot, humid environments or after sweating
  • Doesn’t respond well to benzoyl peroxide or salicylic acid

May worsen with oily skincare products or heavy creams

The key sign? If you’ve tried every acne treatment and nothing works, especially if the bumps are itchy and pop up in clusters, it might be fungal.

What Causes Fungal Acne?

Fungal acne is often caused by an imbalance between yeast and bacteria on the skin. Some common triggers include:

  • Hot, humid climates
  • Excess sweating, especially if sweat isn’t washed off quickly
  • Wearing tight or non-breathable clothing
  • Overuse of antibiotics, which can disrupt the natural skin flora
  • Heavy, oily skincare products that feed yeast
  • Compromised immune systems or high stress levels, which may affect the skin’s ability to regulate itself

The yeast naturally lives on the skin, but when conditions favor it, it multiplies and inflames the hair follicles, causing those familiar bumps.

How to Prevent Fungal Acne

Once your skin clears up, the goal is to maintain balance. Here’s how:

  • Wear loose, breathable clothing, especially in warm climates
  • Keep sweat off your skin—shower and dry off quickly
  • Avoid using multiple heavy skincare products at once
  • Use an anti-fungal shampoo as a body wash once or twice a week for maintenance
  • Be mindful of antibiotic use, and support your skin with probiotics if needed

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