The yeast responsible for fungal acne is always present on your skin. Typically, your body is able to balance the yeast, other fungi, and bacteria that are also a part of your skin.

But if that natural balance is upset, an overgrowth can occur. That’s when the infection of hair follicles develops and acne-like symptoms show up.

Several conditions or events can upset this balance of bacteria and fungi, including:

    Trapped moisture. Wearing sweaty workout clothes for too long can encourage yeast growth. Rewearing workout clothes without washing them may also expose your skin to fungi that have grown in the clothes.

• Medication. If you take antibiotics, the bacteria on your skin can be reduced. That can allow for the overgrowth of a fungus.
• Suppressed immune system. People with compromised immune systems may be more likely to develop fungal acne.
• Diet changes. Fungi and yeast feed on carbohydrates, so balancing your intake of sweets and carb-rich foods may help slow fungal growth.
• Wearing tight clothes. Regularly wearing nonbreathable clothes can encourage extra sweat and moisture. This can foster a skin environment ripe for yeast growth.
• Warm, moist environments. People living in hot climates, where sweating is more likely, may experience fungal acne more frequently.

What are the symptoms of fungal acne?

One of the reasons fungal acne can last for so long is because fungal acne looks similar to acne vulgaris, or bacterial acne.

People with fungal acne, not knowing the difference, may treat it with regular acne skin care options. These treatments don’t work, and they can make the infection worse.

Here’s how to tell the difference between fungal acne and bacterial acne:

• Size. Pus-filled bumps caused by fungal acne tend to be nearly all the same size. Bacterial acne can cause pimples and whiteheads of varying sizes.
• Location. Fungal acne often shows up on the arms, chest, and back. It can also be on the face, where bacterial acne is most common.
• Itching. Fungal acne often causes itchiness. Bacterial acne rarely does.
• Clusters. Fungal acne often appears in clusters of small whiteheads. Bacterial acne is less clustered and more sparse.

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