Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on February 10th, 2026.
Fungal acne is caused by malassezia yeast overgrowth
Over-the-counter antifungal treatments can effectively manage symptoms
Skincare product selection is crucial for preventing fungal acne
Lifestyle changes play a significant role in treatment and prevention
Fungal acne, medically known as pityrosporum folliculitis, is a frustrating skin condition that differs significantly from traditional bacterial acne. Unlike regular acne, this condition stems from an overgrowth of yeast naturally present on the skin, creating uniform, itchy bumps that can be challenging to treat. Wearing tight clothes can cause yeast infections, and similar environmental factors can contribute to fungal acne development.
Understanding the unique nature of fungal acne is the first step toward effective treatment. These small, uniform bumps typically appear on the chest, back, shoulders, and sometimes the face, often accompanied by intense itching or burning sensations. Home remedies for infections can actually work when approached correctly, making at-home treatment a viable option for many individuals.
Malassezia yeast naturally exists on everyone's skin, but certain conditions can trigger its overgrowth. Excessive moisture, heat, and specific lifestyle factors create an ideal environment for these organisms to proliferate. Factors such as frequent antibiotic use, compromised immune systems, and hormonal changes can disrupt the skin's delicate balance, increasing the risk of various infections.
Several over-the-counter treatments can effectively combat fungal acne. Pyrithione zinc, commonly found in dandruff shampoos, serves as an excellent first-line treatment. Application is straightforward: apply to damp skin, let sit for five to ten minutes, then rinse thoroughly. Initially, use daily, then reduce to two to three times per week as the condition improves.
Treatment |
Active Ingredient |
Application |
Frequency |
|---|---|---|---|
Pyrithione Zinc |
Zinc Pyrithione |
Apply to damp skin, rinse after 5-10 minutes |
1-3 times weekly |
Selenium Sulfide |
Selenium Sulfide |
Apply medicated shampoo, rinse thoroughly |
2-3 times weekly |
Ketoconazole |
Ketoconazole |
Apply cream or shampoo |
Every other day |
Treating fungal acne requires careful product selection. Avoid ingredients that feed malassezia yeast, such as coconut oil, olive oil, and most plant-based oils. Instead, opt for products with minimal ingredients and those specifically designed for sensitive, acne-prone skin. The flu can be viral or bacterial, and similarly, skin conditions require precise identification and treatment.
Prevention is key in managing fungal acne. Shower immediately after sweating, wear breathable clothing, and maintain good hygiene. Use moisture-wicking fabrics and change out of damp clothes quickly. A dehumidifier can help control indoor humidity, creating an environment less hospitable to yeast growth.
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Fungal acne, medically known as pityrosporum folliculitis, is a frustrating skin condition that differs significantly from traditional bacterial acne. Unlike regular acne, [...]
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