Pimples on Head Causes, Treatment and Remedies

The symptoms of a fungal skin infection depend on the type of fungus or yeast that’s caused it, and where it is. You may notice changes in your skin, hair or nails, which may or may not cause discomfort. The fungus can affect just one area or several areas of your body.

You’re more likely to get a fungal nail infection if you have other fungal infections, such as athlete’s foot. They’re also more common if you’re older, have another medical condition such as psoriasis or diabetes or if you bite your nails.

3. Gaitanis G, Velegraki A, Mayser P, et al. Skin diseases associated with Malassezia yeasts: facts and controversies. Clin Dermatol. 2013; 31 :455–463. [PubMed] [Google Scholar]

Fungal Acne: How to Know if You Have it ~ and How to Treat it

Fungal skin infections

Fungal Acne on Face or Forehead: Causes, Treatments, Symptoms and Routine

You can pick up fungi which might cause infection if you come into contact with an infected person or animal. That’s why people who play close contact sports such as wrestling are more likely to get fungal skin infections. You can also pick up fungi by sharing contaminated items such as clothes, towels, hairbrushes or bedclothes. Walking barefoot in shared showers and pool areas may mean you pick up fungi on your feet.

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Treatment of fungal skin infections

Please be assured your doctor has done it all before.

Or some patients come to us with pieces of paper and will write the problem down and hand it to us. That way we can help with whatever is going on for you as well.

Whiteheads, Milia and Fungal Acne

What is fungal acne and how do you get rid of it?

Many investigators have studied the efficacy of itraconazole, as this antifungal is excreted in high concentrations in sebum. 24 Itraconazole is a broad-spectrum triazole, which is highly lipophilic and keratophilic with good oral absorption and extensive tissue distribution. 13 Parsad et al 13 utilized 200mg itraconazole for seven days in 13 patients. Of these 13 patients, 11 showed negative mycological exam at Week 5, compared to one in the placebo group, made up of 12 subjects. In one case report, 200mg itraconazole daily for two months resulted in nearly complete disappearance of lesions, promoting apparent cure; however, the patient did relapse after 12 months. 22 Two weeks of 200mg itraconazole daily resulted in complete recovery of 79.6 percent of patients. 10 Furthermore, itraconazole appears to delay relapses. 25

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Bottom Line

18. McGinley KJ, Leyden JJ, Marples RR. Quantitative microbiology of the scalp in non-dandruff, dandruff and seborrheic dermatitis. ■J Invest Dermatol. 1975; 64 :401–405. [PubMed] [Google Scholar]

You’re also more likely to have a fungal skin infection if you:

Other recommended topical treatments include creams containing 2% ketoconazole, econozole nitrate, or 1% clotrimazole cream, all of which are often used to treat athlete’s foot.

Everything You Need to Know About Fungal Acne, Including How to Treat It

What Is Fungal Acne? Causes, Treatments, and Symptoms

You can get this at any age, but it mostly affects children. Scaly patches develop on your scalp and may be itchy. In some people, the patches become inflamed and red and have pus-filled spots. You may also develop a pus-filled area on your scalp; this is called a ‘kerion’.

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Nail infections

Under normal conditions, there will be a balance between the bacteria and fungus on our skin, Hye Jin Chung, M.D. 5 , assistant professor of dermatology at Boston University School of Medicine, tells SELF. But if something happens to wipe out the bacteria (say, you take antibiotics) 6 , there won’t be anything to keep the fungus in check. As a result, an overgrowth of fungus can develop, which in turn can lead to skin irritation, inflammation, and fungal acne.

Basically, fungal acne is just one form of folliculitis. So, despite its resemblance to bacterial acne, fungal acne occurs when yeast (yes, a fungus) inflames the hair follicles on your skin and causes pimple-like bumps. Fungal acne is technically referred to as pityrosporum folliculitis or malassezia folliculitis for the specific type of fungus (malassezia is the more updated term 4 , but your dermatologist may still call it pityrosporum).

Malassezia (Pityrosporum) Folliculitis

How to Identify and Treat Fungal Acne?

Fungal skin infections can cause a variety of different skin rashes. Your skin may:

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Ringworm on your body

Despite its name, ringworm is an infection with a fungus not a worm. It gets its name because it often causes a ring-shaped rash. Ringworm infections are very common and can affect different parts of your body.

Diagnostic studies include microscopic evaluation of the presence of yeast, cultures, and biopsies. Additionally, Wood’s lamp can be used to illuminate the lesions, which portray a yellow-green fluorescence. This particular diagnostic tool was observed to be positive in 66.7 percent of 49 MF patients. 10 A general KOH with Parker blue ink shows numerous spores and short curved hyphae. However, this can be misleading as Malassezia yeast are present as a normal part of the cutaneous flora in 75 to 98 percent of healthy individuals. 2 , 7 , 10 , 18 Use of a comedo extractor is recommended by the authors of Yu et al 5 rather than a simple skin scraping for KOH preparation as this will reveal levels of yeast within the follicle rather than the stratum corneum. Calcofluor white can be used in replacement of KOH allowing for easier visualization; however this method does require additional ultraviolet (UV) light microscopy. 7 In the study done by Durdu et al, 10 May-Grunwald-Giemsa (MGG) smears showed higher positivity (100%) compared to KOH (81.6%) as confirmed by fungal culture. Fungal cultures may be useful; however, different growth rates and culture requirements between specific Malassezia species make them more difficult. 19 Malassezia species require C12, C13, and C14 fatty acids, which are not obtained by standard Sabouraud medium. 11 , 20 This requirement can be obtained by adding olive oil to the medium or using MDA or Leeming and Notman agars as well as modified Dixon medium. A temperature of 31 to 35°C and placing cultures in plastic bags to enhance humidity also aids in the growth of Malassezia species. 7 Lastly, shave or punch biopsies are useful for histopathological diagnosis. Histologically, these specimens show dilated follicles plugged with keratinous material, amorphous cellular debris, and inflammatory cells. The follicle contains numerous round yeast forms and demonstrates positivity with PAS stain. 7 , 21 , 22 When performing a biopsy, as with the KOH preparation, it is important to obtain the follicle as yeast are often normally present on the skin’s surface. Performing a KOH slide or shave biopsy is more practical, as cultures can be difficult to perform in clinical settings.

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