Fungal Acne vs Closed Comedones: An In-Depth Guide

I write so you share. Thank you.

Fungal acne is caused by an overgrowth of yeast on the skin, while closed comedones are clogged pores with trapped oil and dead skin cells.

If you are wondering how to differentiate and treat these conditions, fungal acne¹ presents as small, uniform bumps, often itchy, while closed comedones² are tiny flesh-colored bumps. For fungal acne, use antifungal products and avoid heavy, oily skincare. For closed comedones, use gentle exfoliants, retinoids, and maintain a consistent skincare routine.

One easy way of differentiating between fungal acne and closed comedones is by examining their response to treatments. Fungal acne typically improves with antifungal creams or shampoos (e.g., containing ketoconazole), while closed comedones respond well to chemical exfoliants (e.g., salicylic acid) and retinoids.

If you think you might have fungal acne, the best way to treat it is by using over-the-counter antifungal creams or shampoos, and incorporating gentle, oil-free skincare products. Consult a dermatologist for personalized recommendations and potential prescription treatments.

If you think you might have closed comedones, the best way to treat them is by using over-the-counter chemical exfoliants like salicylic acid, incorporating retinoids, and maintaining a consistent skincare routine. A dermatologist can provide guidance and prescribe stronger treatments if needed.

In addition to the treatments mentioned, consider the following tips to help prevent and manage both fungal acne and closed comedones:

1. Maintain good hygiene: Cleanse your face gently twice a day with a mild, non-comedogenic cleanser, and avoid harsh scrubbing.
2. Avoid pore-clogging products: Choose oil-free, non-comedogenic skincare and makeup products.
3. Change pillowcases and towels regularly: This helps to reduce the build-up of oil, bacteria, and fungi on your skin.
4. Manage stress: High stress levels can contribute to hormonal imbalances, which may worsen acne.
5. Stay hydrated and maintain a balanced diet: A healthy diet and proper hydration can promote overall skin health.

If you want to learn more about the topic, keep reading!

Introduction

Acne, oh acne! It’s something many of us have to deal with, and it comes in various forms, including comedonal acne and folliculitis.

Many clients at the market come to me with this problem and they don’t realise that it could be many different types and so the way to treat it is also different.

When you’re trying to figure out what’s causing the bumps, you might come across terms like “closed comedones” and “fungal acne.” Perhaps someone told you you could have “fungal acne” and to check if, instead, you have closed comedones. These two types of acne can be a bit confusing, as they both affect the hair follicle and require different treatment methods.

So, let’s dive right in and clear up the difference between fungal acne vs. regular acne, specifically closed comedones.

Now, you might be wondering why it’s important to know the difference between these two forms of acne. Well, since fungal acne and closed comedones (also known as typical acne) have unique causes, the treatment options for each vary quite a bit. You wouldn’t want to use an acne treatment designed for inflammatory acne if you’re dealing with a fungal acne breakout.

Fungal acne, or more accurately known as pityrosporum folliculitis, isn’t actually a form of acne but rather a yeast infection of the hair follicles. This type of acne can be pretty sneaky because it looks a lot like regular acne, especially closed comedones. However, there are certain signs of fungal acne that can help you determine if you’re developing this particular type.

On the other hand, closed comedones are a type of comedonal acne and are more commonly associated with typical acne. Unlike open comedones (also known as blackheads), closed comedones are small, flesh-colored bumps caused by trapped oil and dead skin cells within the hair follicle. Knowing the cause of your acne, whether it’s fungal acne or closed comedones, is essential in choosing the right treatment options and methods to effectively tackle those stubborn blemishes.

We’re about to dive deep into everything you need to know about fungal acne, its causes, symptoms, and diagnosis. Buckle up!

Fungal Acne: Causes, Symptoms, and Diagnosis

Causes: Unlike traditional acne, which is often caused by bacteria and excess oil production, fungal acne is caused by yeast (specifically, Malassezia). This sneaky fungus thrives on the skin’s surface, and when there’s an overgrowth, it can lead to pityrosporum folliculitis or Malassezia folliculitis – both fancy terms for fungal acne. Now, you might be asking yourself, “What causes this fungal overgrowth?” Well, factors like a warm, humid environment, excessive sweating, and a weakened immune system can contribute to developing fungal acne.

Symptoms: Here’s where things get a bit tricky. Fungal acne can look strikingly similar to closed comedones, which is why it’s crucial to know the difference between closed comedones vs. fungal acne. Some tell-tale signs of fungal acne include small, uniform, and often itchy bumps. This itchiness is a key differentiator, as traditional acne doesn’t usually cause such irritation. Fungal acne also tends to appear in clusters, while closed comedones can be more scattered. Here’s a detailed view of Yeast Folliculitis Symptoms by the way.

Diagnosis: So, you suspect you’ve got a case of fungal acne, but how can you be sure? Well, it’s always best to consult a dermatologist for a proper diagnosis. They might perform a skin scraping or even a biopsy to confirm whether it’s a fungal infection or bacterial acne. Remember, fungal acne treatment differs from typical acne treatments, so pinpointing the root cause is essential.

Closed Comedones vs. Fungal Acne	Closed Comedones	Fungal Acne
Cause	Clogged pores due to trapped oil and dead skin cells	Yeast overgrowth on the skin
Appearance	Tiny, flesh-colored bumps	Small, uniform, and often itchy bumps
Treatment	Chemical exfoliants, retinoids	Antifungal creams, shampoos

Now that you’re armed with this knowledge, it’s time to tackle those blemishes head-on.

Whether you’re struggling with closed comedones or fungal acne, knowing the root cause will help you choose the right treatment options and prevent future breakouts. And remember, if in doubt, consult a dermatologist.

So, we’ve covered fungal acne, and now it’s time to look closely into closed comedones.

Let’s look at what causes them, their symptoms, and how to diagnose them.

Closed Comedones: Causes, Symptoms, and Diagnosis

Causes: Closed comedones develop when excess oil and dead skin cells become trapped inside a pore, forming a plug. These clogged pores are the culprit behind those tiny, flesh-colored bumps we all love to hate. But what factors contribute to the formation of closed comedones? Well, things like hormonal fluctuations, improper skincare, and even certain medications can play a role.

Symptoms: The tell-tale sign of closed comedones is their appearance – they look like small, raised, flesh-colored bumps on the skin. Unlike fungal acne, which tends to be itchy, closed comedones usually aren’t irritating. It’s essential to know the distinction between closed comedones and fungal acne, as their treatments differ significantly.

Diagnosis: If you’re dealing with a breakout and suspect closed comedones are the culprits, it’s wise to consult a dermatologist. They’ll examine your skin and may perform tests to rule out fungal acne or other skin conditions. Getting an accurate diagnosis is crucial, as regular acne treatments might not work on fungal acne, and vice versa.

Closed Comedones vs. Fungal Acne	Closed Comedones	Fungal Acne
Cause	Clogged pores due to excess oil and dead skin cells	Yeast overgrowth on the skin
Symptoms	Tiny, flesh-colored bumps	Small, uniform, itchy bumps
Treatment	Salicylic acid, retinoids	Antifungal creams, shampoos

In a nutshell, understanding the differences between closed comedones, fungal acne, and other types of acne is key to choosing the right treatment and preventing future breakouts. With this knowledge in hand, you’re well on your way to achieving clear, healthy skin. And remember, when in doubt, consult a dermatologist – they’ve got your back!

Let’s face it: dealing with acne is no picnic. But when you’re trying to tell the difference between fungal acne and closed comedones, it can feel like you’re navigating a maze. Fear not! We’re here to help you differentiate between the two and decide when it’s time to call in the pros.

Differentiating Fungal Acne and Closed Comedones

**See pics above**

Comparing symptoms and appearance: At first glance, fungal acne and closed comedones may seem like two peas in a pod. However, there are some telltale differences to help you distinguish between them. Fungal acne tends to appear as small, uniform, itchy bumps, while closed comedones present as tiny, flesh-colored bumps without itchiness. It’s important to know these differences, as treatments for fungal acne and closed comedones vary greatly.

Examining response to treatments: A surefire way to differentiate between fungal acne and closed comedones is to observe how they respond to typical acne treatments. Fungal acne usually won’t improve with traditional acne treatments like salicylic acid or benzoyl peroxide, as it’s caused by yeast overgrowth. Conversely, closed comedones often respond well to these treatments since they stem from clogged pores due to excess oil and dead skin cells.

Professional guidance – when to consult a dermatologist: If you’re unsure whether you’re dealing with fungal acne or closed comedones, it’s best to consult a dermatologist. They can accurately diagnose your skin condition and recommend the most effective treatment plan. Don’t hesitate to seek professional help, especially if your acne is severe, persistent, or causing distress.

Fungal Acne vs. Closed Comedones	Fungal Acne	Closed Comedones
Symptoms	Small, uniform, itchy bumps	Tiny, flesh-colored bumps
Response to treatments	Unresponsive to traditional acne treatments	Responsive to traditional acne treatments
When to consult a dermatologist	Persistent itchiness, unresponsive to regular treatments	Severe or persistent breakouts, unresponsive to over-the-counter treatments

In conclusion, understanding the differences between fungal acne and closed comedones is essential for selecting the right treatment and achieving clear, healthy skin. Remember, when in doubt, consult a dermatologist – they’re the experts, after all! Armed with this knowledge, you’ll be better equipped to tackle your breakouts head-on and prevent future flare-ups. Happy skin-caring!

Treating Fungal Acne

When it comes to treating fungal acne, it’s essential to know the difference between it and closed comedones.

Fungal acne, unlike traditional acne, requires a unique approach to treatment.

Let’s dive into everything you need to know about treating fungal acne and getting your skin back on track.

1. Over-the-counter Antifungal Creams and Shampoos

Fungal acne treatment often starts with over-the-counter (OTC) antifungal creams and shampoos. These products target the yeast responsible for causing acne, helping to alleviate symptoms and prevent future breakouts. Look for ingredients like ketoconazole or clotrimazole when choosing an OTC antifungal product.

2. Natural Remedies: Tea Tree Oil, Honey, Apple Cider Vinegar, etc.

If you prefer a more natural route, several remedies can help treat fungal acne. Some popular options include:

• Tea tree oil: With potent antifungal properties, tea tree oil can be an effective treatment for fungal acne. Dilute it with a carrier oil before applying it to your skin.
• Honey: Manuka honey, in particular, has been praised for its antimicrobial properties, making it a potential treatment option for fungal acne.
• Apple cider vinegar: Dilute apple cider vinegar with water and apply it as a toner to help balance your skin’s pH and fight fungal acne.

Remember, always patch test any new treatment to ensure you don’t have an adverse reaction.

3. Lifestyle Changes and Preventative Measures

Preventing fungal acne is just as important as treating it. Here are some lifestyle changes and preventative measures to keep in mind:

• Keep your skin clean and dry, especially after sweating.
• Avoid tight-fitting clothing that can trap sweat and create a breeding ground for yeast.
• Change your pillowcases and towels frequently to minimize the spread of yeast.

Treatment Type	Examples	Benefits
Over-the-counter antifungal creams and shampoos	Ketoconazole, clotrimazole	Target yeast causing acne
Natural remedies	Tea tree oil, honey, apple cider vinegar	Alternative, chemical-free treatments
Lifestyle changes and preventative measures	Regular hygiene, loose clothing, clean pillowcases	Minimize risk of developing fungal acne

In conclusion, treating fungal acne requires a different approach than treating comedonal acne. By using over-the-counter antifungal products, natural remedies, and implementing lifestyle changes, you can effectively treat and prevent fungal acne.

As always, consult with a dermatologist if you’re unsure about the best treatment method for your skin or if your acne persists despite your efforts.

Natural Skincare Routine for Acne-Prone Skin

Establishing a consistent, natural skincare routine is essential for acne-prone skin. Choosing the right products can significantly impact your skin’s health and appearance. In this section, we’ll discuss the importance of a consistent skincare routine, how to select the best products for acne-prone skin, and provide a step-by-step guide to a natural skincare routine.

Importance of a Consistent Skincare Routine

A regular skincare routine can help:

• Maintain skin’s balance and prevent excess oil production
• Keep pores clean and unclogged
• Promote faster healing of existing acne

Choosing the Right Products: Non-comedogenic, Oil-free, and Gentle

When selecting products for acne-prone skin, consider the following criteria:

• Non-comedogenic: These products won’t clog pores and contribute to acne formation.
• Oil-free: Opt for water-based products to prevent excessive oiliness.
• Gentle: Avoid harsh, skin-irritating ingredients that can worsen acne.

Step-by-Step Guide to a Natural Skincare Routine for Acne-Prone Skin

1. Cleanse: Use a gentle, non-comedogenic cleanser to wash your face twice a day. Avoid harsh scrubbing or over-washing, as this can exacerbate acne.
2. Tone: Apply a natural toner, such as witch hazel or diluted apple cider vinegar, to balance your skin’s pH and tighten pores.
3. Treat: Apply a spot treatment, such as tea tree oil or salicylic acid, to target existing acne.
4. Moisturize: Choose a lightweight, oil-free moisturizer to keep your skin hydrated without clogging pores. Here’s an article on the best moisturizers for fungal acne.
5. Sun protection: Wear a broad-spectrum, non-comedogenic sunscreen daily to protect your skin from UV damage.

Step	Action	Product Examples
1. Cleanse	Gentle, non-comedogenic cleansing	Natural, sulfate-free cleansers
2. Tone	Balancing and tightening pores	Witch hazel, diluted apple cider vinegar
3. Treat	Spot treatment for existing acne	Tea tree oil, salicylic acid
4. Moisturize	Hydration without clogging pores	Lightweight, oil-free moisturizers
5. Sun protection	Daily UV protection	Broad-spectrum, non-comedogenic sunscreen

By following this natural skincare routine for acne-prone skin, you can help prevent new acne from forming and promote the healing of existing blemishes. Remember that consistency is key, and results may take time to become visible. Consult with a dermatologist if your acne persists or worsens, as you may require additional treatments or guidance.

Beyond Skincare: Holistic Approach to Acne Management

Managing acne extends beyond a skincare routine. A holistic approach involves addressing factors such as stress, diet, and exercise that can impact skin health. In this section, we’ll explore stress management techniques, the importance of a balanced diet and hydration, and the benefits of regular exercise for skin health.

Stress Management Techniques

Stress can worsen acne by triggering inflammation and increasing oil production. Implementing stress management techniques can help alleviate acne symptoms. Some effective strategies include:

• Meditation
• Yoga
• Deep breathing exercises
• Adequate sleep

Balanced Diet and Hydration

A balanced diet can play a vital role in promoting healthy skin. Consider incorporating the following components into your diet:

• Anti-inflammatory foods: These can help reduce acne inflammation. Examples include fatty fish, green leafy vegetables, and berries.
• Antioxidant-rich foods: These can help protect your skin from damage. Examples include colorful fruits and vegetables, nuts, and seeds.
• Low-glycemic foods: These can help maintain balanced blood sugar levels, which can reduce acne severity. Examples include whole grains, legumes, and lean proteins.

Stay well-hydrated by drinking plenty of water throughout the day, as this can help flush toxins from your body and maintain healthy skin.

Regular Exercise and Its Benefits for Skin Health

Regular exercise can benefit skin health by:

• Improving blood circulation, which delivers nutrients and oxygen to skin cells
• Reducing stress, which can alleviate acne symptoms
• Promoting detoxification through sweating

Remember to cleanse your face after exercising to prevent sweat and oil from clogging pores.

Holistic Approach	Benefits	Examples
Stress Management	Reduces inflammation and oil production	Meditation, yoga, deep breathing, sleep
Balanced Diet & Hydration	Promotes healthy skin, reduces inflammation	Anti-inflammatory foods, antioxidant-rich foods, low-glycemic foods, water
Regular Exercise	Improves circulation, reduces stress, promotes detoxification	Cardiovascular activities, strength training, yoga

Incorporating these holistic approaches to acne management, along with a consistent skincare routine, can help improve your skin’s health and appearance. Remember that everyone’s skin is different, and it may take time to see noticeable results. Consult a dermatologist if your acne persists or worsens, as you may require additional treatments or guidance.

Dealing with Acne Scars and Hyperpigmentation

Acne scars and hyperpigmentation can be a challenging aftermath of severe acne. To effectively manage these skin concerns, it’s essential to understand the different types of acne scars and hyperpigmentation, and explore professional and at-home treatment options.

Types of Acne Scars and Hyperpigmentation

Various types of acne scars and hyperpigmentation can result from acne vulgaris, fungal acne, and comedonal acne. These include:

• Ice pick scars: Deep, narrow scars that resemble puncture marks.
• Boxcar scars: Wide, shallow depressions with sharp edges.
• Rolling scars: Broad, shallow indentations with sloping edges.
• Post-inflammatory hyperpigmentation (PIH): Dark spots that result from an overproduction of melanin after inflammation.

Professional Treatments

Several professional treatments can help reduce the appearance of acne scars and hyperpigmentation:

• Chemical peels: These treatments involve applying an acidic solution to the skin to remove the outer layer, promoting cell turnover and reducing hyperpigmentation.
• Laser therapy: This treatment uses focused light to stimulate collagen production and reduce the appearance of scars and pigmentation.

At-Home Treatments

At-home treatments can also help improve the appearance of acne scars and hyperpigmentation:

• Vitamin C: A powerful antioxidant that helps brighten the skin and reduce the appearance of hyperpigmentation.
• Niacinamide: A form of vitamin B3 that helps even out skin tone and reduce inflammation.
• Alpha hydroxy acids (AHAs): Chemical exfoliants that promote cell turnover and improve skin texture.

Treatment Type	Treatment Options	Benefits
Professional	Chemical peels, laser therapy	Faster results, more intense treatments
At-home	Vitamin C, niacinamide, AHAs	Cost-effective, gentle, long-term use

Remember that dealing with acne scars and hyperpigmentation requires patience and persistence. Consult a dermatologist for personalized recommendations based on your skin type and the severity of your acne scars or hyperpigmentation. Continue maintaining a consistent skincare routine and a holistic approach to acne management to prevent further skin concerns.

Last Words

Understanding the symptoms and causes of various acne types, such as fungal acne and comedonal acne, is essential for effective treatment. Closed comedones, a type of comedonal acne, can easily be confused with fungal acne due to their similar appearance. However, distinguishing between them is crucial, as they require different treatments.

Fungal acne is mainly caused by fungus and can occur anywhere on the body. It often presents as small, itchy bumps that may look like traditional acne. On the other hand, closed comedones are caused by excess oil and dead skin cells, leading to the formation of flesh-colored bumps.

To treat these acne types, it’s essential to target their specific causes. For fungal acne, use antifungal treatments that kill the responsible fungus. For comedonal acne, including closed comedones, chemical exfoliants and retinoids can help unclog pores and reduce inflammation.

Managing acne may sometimes involve dealing with complications such as cystic acne and clinical acne, as well as addressing acne scars and hyperpigmentation. A consistent skincare routine, professional guidance, and a holistic approach to acne management can help prevent acne from worsening and promote healthier skin.

Remember to consult a dermatologist for personalized recommendations and treatments tailored to your specific skin type and concerns. With patience and persistence, acne can be treated and managed effectively.

Conclusion: Navigating the Complexities of Acne

In this comprehensive guide, we explored the differences between fungal and comedonal acne, delving into the symptoms, causes, and treatments for each type. While fungal acne is caused by fungus and can appear anywhere on the body, comedonal acne is caused by clogged pores and often presents as closed comedones.

Understanding the distinction between these two types of acne is crucial in finding the right treatment approach. Whether you’re dealing with closed comedones or fungal acne, remember that there are specific treatments that can help. For fungal acne, antifungal medications are effective, while comedonal acne requires exfoliants and pore-clearing agents to treat comedones.

Comparing fungal acne vs. comedonal acne may sometimes be challenging, but finding a tailored approach is essential for optimal results. Keep in mind that acne is often a multifaceted issue, and treatments that work for one person may not necessarily be the best fit for another.

If you’re unsure about the type of acne you’re experiencing, or if your acne worsens despite trying various treatments, don’t hesitate to consult a dermatologist. A professional can provide valuable guidance and recommend the most suitable treatment plan for your specific needs.

In conclusion, take the time to understand your acne, be patient with the process, and stay open to trying different treatment options. By adopting a personalized approach and seeking professional advice when necessary, you’ll be well on your way to achieving clear, healthy skin.

Frequenty Asked Questions

Q: What is comedonal acne?

A: Comedonal acne is a type of acne caused by clogged pores, resulting in the formation of closed comedones (whiteheads) or open comedones (blackheads). It differs from fungal acne, which is caused by an overgrowth of yeast on the skin.

Q: How can I differentiate between closed comedones and fungal acne?

A: Symptoms of fungal acne typically include small, uniform, itchy bumps that often occur in clusters, whereas closed comedones are non-itchy, flesh-colored bumps with a white or yellowish center. Fungal acne can also appear anywhere on the body, while closed comedones are generally limited to the face.

Q: What are the main causes of fungal acne and comedonal acne?

A: Fungal acne is caused by an overgrowth of yeast on the skin, often triggered by factors like a weakened immune system, excessive sweating, or certain medications. Comedonal acne, on the other hand, is caused by excess oil, dead skin cells, and debris clogging the pores.

Q: Can I use the same treatments for both fungal and comedonal acne?

A: No, the treatment methods for fungal and comedonal acne differ. Fungal acne requires antifungal treatments to target the yeast overgrowth, while comedonal acne benefits from exfoliants and pore-clearing agents to address clogged pores and reduce inflammation.

Q: How can I prevent fungal acne and comedonal acne?

A: To prevent fungal acne, maintain good hygiene, avoid tight clothing that traps sweat, and use products that don’t promote yeast growth. For comedonal acne, practice a consistent skincare routine, use non-comedogenic products, and avoid harsh or overly drying ingredients that can worsen the condition.

Q: Are there any similarities between comedonal and fungal acne?

A: While comedonal and fungal acne may sometimes look similar, their causes and treatments are different. Both types of acne can benefit from a consistent skincare routine, a balanced diet, and stress management, but their specific treatments target different underlying issues.

Q: If I’m unsure about the type of acne I have, what should I do?

A: If you’re uncertain whether you have fungal or comedonal acne, or if your acne worsens despite trying different treatments, consult a dermatologist for professional advice and diagnosis. They can help determine the cause of your acne and recommend the most suitable treatment options.

Q: Can fungal acne cause closed comedones?

A: No, fungal acne does not cause closed comedones. Fungal acne is caused by an overgrowth of yeast on the skin, whereas closed comedones are caused by clogged pores due to excess oil, dead skin cells, and debris.

Q: What is the difference between closed comedones and acne?

A: Closed comedones are a type of acne, specifically non-inflammatory acne, characterized by flesh-colored, non-itchy bumps with a white or yellowish center. Acne, on the other hand, is a broader term that encompasses various forms of skin conditions, including inflammatory acne (like cystic acne and papules), non-inflammatory acne (like closed comedones and open comedones), and fungal acne.

Q: What does fungal acne look like on face?

A: Fungal acne appears as small, uniform, itchy bumps that often occur in clusters. They may resemble traditional acne but can be distinguished by their itchiness, uniform size, and the presence of fungal acne anywhere on the body, not just the face.

Q: Can you squeeze fungal acne?

A: It is not recommended to squeeze fungal acne or any other type of acne, as it can worsen the condition, cause scarring, or lead to infection. Treatments that kill acne-causing fungi, such as antifungal creams or shampoos, are a more effective and safer way to get rid of fungal acne.

References

1. Rubenstein, Richard M., and Sarah A. Malerich. “Malassezia (Pityrosporum) Folliculitis.” The Journal of Clinical and Aesthetic Dermatology, vol. 7, no. 3, Mar. 2014, pp. 37–41. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970831/.
2. Comedonal Acne | DermNet. https://dermnetnz.org/topics/comedonal-acne. Accessed 13 Apr. 2023.