The main difference between fungal acne and regular acne lies in their causes and symptoms, with a key distinction being that fungal acne is often itchy, while regular acne is not.
Here's a detailed breakdown:
Understanding Regular Acne (Acne Vulgaris)
Regular acne, also known as acne vulgaris, occurs when hair follicles become clogged with a combination of:
- Bacteria: Propionibacterium acnes (P. acnes) is commonly involved.
- Oil (Sebum): Produced by sebaceous glands in the skin.
- Dead Skin Cells: These can build up and block pores.
This blockage leads to inflammation and the formation of various types of blemishes, including:
- Whiteheads
- Blackheads
- Pimples (pustules and papules)
- Cysts
- Nodules
Understanding Fungal Acne (Malassezia Folliculitis)
Fungal acne, more accurately termed Malassezia folliculitis, is not caused by bacteria, but rather by an overgrowth of a yeast called Malassezia. This yeast is naturally present on the skin but can sometimes cause an infection within the hair follicles.
Key characteristics of fungal acne include:
- Itchiness: A very prominent symptom that differentiates it from regular acne.
- Uniform Appearance: The bumps are typically similar in size and shape.
- Location: Often found on the chest, back, and upper arms, though it can appear on the face.
Key Differences Summarized
The following table clearly outlines the crucial distinctions:
| Feature | Regular Acne (Acne Vulgaris) | Fungal Acne (Malassezia Folliculitis) |
|---|---|---|
| Cause | Blocked hair follicles with bacteria, oil, and dead skin cells | Overgrowth of Malassezia yeast in hair follicles |
| Itchiness | Usually not itchy | Usually itchy |
| Appearance | Variety in types (whiteheads, blackheads, pimples etc.) | Uniform in size and shape |
| Location | Can appear on face, back, chest | Often found on chest, back, upper arms |
| Treatment | Topical creams, antibiotics | Antifungal creams, oral antifungals |
Why Correct Diagnosis is Important
It's essential to distinguish between fungal acne and regular acne because the treatments differ significantly.
- Treating fungal acne with typical acne treatments won't work and can make it worse.
- Treating regular acne with antifungals will also be ineffective.
If you're unsure what kind of acne you have, consult a dermatologist for an accurate diagnosis and appropriate treatment plan.
