By Shammi Mondal
You might have a well-rounded skincare routine, but there are times when you find tiny, stubborn bumps on your forehead and around the sides of your face that won’t go away. And common acne treatments might have no effect on them either. This is because those bumps aren’t acne at all. In fact, this is an under-recognised skin condition called malassezia folliculitis.
We reached out to dermatologist Dr Kiran Sethi to find answers to these burning questions
What is malassezia folliculitis?
It’s commonly to misdiagnose them as fungal acne. However, “Fungal acne is not a real classification of acne at all; what it actually could be is Malassezia Folliculitis,” says Dr Kiran.
“Malassezia is a yeast that usually exists on the skin and scalp naturally. But when it meets excess oil, it infects your hair follicles and cause folliculitis (inflammation of hair roots),” she adds.
How do you identify Malassezia folliculitis (MF)?
At first, they may look like small, reddish bumps, but when you look closely, you will notice that they’re swollen bases of hair follicles.
“These pimple-like bumps generally occur around your forehead, and towards the outer periphery of your face. The bumps can be itchy and most often they don’t contain pus,” explains Dr Kiran.
If you have oily skin, sweat a lot, or live in humid conditions, you have a higher chance of having MF. It can also be triggered by hormonal changes, excessive dandruff, antibiotic usage and diabetes.
Is it treatable?
Yes, and it’s pretty easy. Here are Dr Kiran Sethi’s five recommendations
#1 Niacinamide for the win
“Niacinamide is truly a gem of an ingredient. It is especially effective for treating Malassezia folliculitis as it controls excess sebum production, which is the root cause of the bumps,” says Dr Kiran.
Pick up a niacinamide-based serum or moisturiser and apply it all over you face at bedtime to keep oiliness at bay.
#2 Swap your facewash with a shampoo
Sounds odd, we know. But ketoconazole, an ingredient in your medicated anti-dandruff shampoo, works wonders for treating those rigid bumps as it dries out the excess oil around hair follicles.
“Using a ketoconazole shampoo as a facewash would effectively help in controlling the infection,” says Dr Kiran. “But make sure you lather the shampoo on your face and let it sit for a few minutes before rinsing off.”
#3 Salicylic acid to the rescue
Since excessive oiliness is the root of the infection, salicylic acid is your saviour. “It is lipophilic in nature, which means it’s oil soluble. [Therefore] it dries down excess oil and unclogs the pores of your skin,” says Dr Kiran.
Use a salicylic acid moisturiser or serum in your day and night-time skincare routine to say goodbye to MF.
#4 Keep your scalp clean
“Although Malassezia does not happen due to dandruff, excessive dandruff on your scalp can trigger the yeast and accelerate its spread,” says Dr Kiran.
The best way to keep dandruff at bay is by washing your hair and keep your scalp clean. This will not only help you treat the stubborn bumps on your skin but also maintain the health of your hair.
#5 Clotrimazole will solve it all
“Ingredients like clotrimazole are effective in treating various skin infections, and efficiently helps reduce the severity of Malassezia folliculitis,” says Dr Kiran.
Clotrimazole is commonly used in creams. Pick up a clotrimazole-based cream and use it on the affected area once a day.