If you’re battling persistent, itchy breakouts that look like acne but don’t respond to traditional treatments, you might be dealing with Malassezia folliculitis—a common but often misdiagnosed condition. At SOMA Skin & Laser, our dermatology team specializes in accurate diagnosis and effective treatment for fungal skin conditions like this one.
What Is Malassezia Folliculitis?
Malassezia folliculitis, also known as pityrosporum folliculitis, is caused by an overgrowth of yeast (Malassezia species) that naturally lives on the skin. Unlike bacterial acne, this condition results in itchy, uniform pustules due to yeast infecting the hair follicles.
It is not contagious, but it can be chronic or recurrent if not properly treated.
Common Symptoms
Small, itchy red or skin-colored bumps (papules and pustules)
Breakouts on the chest, back, shoulders, upper arms, and sometimes the face
Often appears in hot, humid weather
May flare with sweating, heat, or antibiotic use
Frequently mistaken for acne, but does not respond to acne treatments
What Causes It?
Malassezia folliculitis occurs when the yeast that lives on your skin multiplies excessively, often triggered by:
Heat and humidity
Excessive sweating
Occlusive skincare products or clothing
Long-term antibiotic use (which disrupts normal skin flora)
Oily skin types
Immunosuppression
How We Diagnose Malassezia Folliculitis
Because it mimics acne, this condition is often overlooked. At SOMA Skin & Laser, we use:
Clinical examination by board-certified dermatologists
Microscopic evaluation or skin scraping (in select cases)
History review of failed acne treatments or flare patterns
Treatment Options
Malassezia folliculitis requires a different approach than acne. Our treatment options may include:
1. Topical Antifungals
Ketoconazole cream or shampoo
Ciclopirox or selenium sulfide lotions
Used daily or as maintenance to prevent recurrence
2. Oral Antifungals
Fluconazole or itraconazole for moderate to severe cases
Short courses often clear lesions quickly
3. Skincare Adjustments
Avoiding oily or comedogenic products
Incorporating gentle, antifungal cleansers into routine
Switching to breathable clothing and managing sweat
4. Maintenance Therapy
Since the yeast is a natural part of the skin, maintenance may be necessary for long-term control—especially during summer or humid conditions.
Why Choose SOMA Skin & Laser?
Accurate diagnosis of hard-to-treat skin conditions
Board-certified dermatologists experienced with Malassezia and other fungal disorders
Customized treatment plans for lasting relief
Evidence-based skincare guidance to prevent recurrence
Say Goodbye to Itchy, Acne-Like Bumps
If your “acne” isn’t responding to traditional treatments—or seems to get worse with antibiotics—Malassezia folliculitis could be the culprit. Let the expert team at SOMA Skin & Laser help you uncover the real cause and get your skin back on track.
Call Us Today: 973-763-7546