If you’ve had acne your doctor has been treating with antibiotics and it still won’t go away, you may have been misdiagnosed. Instead of having regular pimples, you may have a condition called pityrosporum folliculitis, also known as malassezia folliculitis. Pitysporum folliculitis must be treated differently than everyday acne in order to heal up and disappear.
Pityrosporum folliculitis is different from regular acne (also known as acne vulgaris) in that it usually looks bright red and is itchy and painful to the touch. It is often most itchy after exercise or other sweaty activity, or after showering in hot water. Pityrosporum folliculitis usually shows up on the back, shoulders, chest, forearms, face, hands, and scalp. It is most commonly seen in teenagers and grown men.
It is caused by the yeast pityrosporum, which is a natural yeast that can overgrow on the skin. This type of yeast often grows in sweaty, humid environments. When people wear clothing that doesn’t breathe well, such as those made from synthetic materials, wear tight clothing use sunscreen, coconut oil, suffer from stress or tiredness, or have naturally oily skin, they may be susceptible to pityrosporum folliculitis.
It also occurs in people with a family history of atopic diathesis, which includes eczema, skin dryness, asthma and hay fever. Finally, people with diabetes, Cushing disease, Hodgkin disease, HIV, and Crohn disease may have pityrosporum folliculitis.
If you are misdiagnosed with acne vulgaris, the antibiotics prescribed will often make it worse. This is because antibiotic medication suppresses natural bacteria which makes the yeast overgrow. ( Pityrosporum Folliculitis Diet )
Pityrosporum folliculitis cannot be cured at home.
In order to successfully treat pityrosporum folliculitis, your doctor will most likely use a topical (which means placed on the skin) or oral (pill) antifungal.
- Oral anti-fungal medications usually work right away and clear the yeast up very quickly. Oral medications that are used are pulse itraconazole, fluconazole, and ketoconazole.
- Topical medications include a ketoconazole cream, ciclopirox olamine cream, econazole cream, and selenium sulfide shampoo. Once the folliculitis clears up, your doctor will likely take you off of the oral medications. However, pityrosporum folliculitis has a tendency to come back, so you may be given a cream or shampoo to use continually to make sure the condition doesn’t relapse. Your doctor should discontinue any antibiotic medication.
Photodynamic therapy, also known as light therapy, is sometimes used for people whose pityrosporum folliculitis does not clear up with topical or oral medications.
Although you can’t treat pityrosporum folliculitis without going to the doctor, there are ways you can work to try to prevent it. Avoid any thick lotions, moisturizers, or balms. Try using sunscreen sprays or other oil-free products to prevent sunburn. When you exercise, or know you’ll be in hot or humid conditions, wear loose clothing. Finally, avoid prescription antibiotic medications for acne. Btw, here is the list of 13 natural remedies for folliculitis that you should know.