What is the Difference Between Closed Comedones and Fungal Acne?

Closed comedones and fungal acne are two different types of skin conditions that may appear similar but have distinct characteristics, causes, and treatments. Here are the main differences between the two:

Closed Comedones:

• Also known as whiteheads.
• Caused by excess production of sebum oil in the skin mixed with dead skin cells.
• Typically small, non-inflamed bumps.
• Common areas affected: chin and forehead.
• Treatment: Consistent skincare routine involving gentle exfoliation, oil-free products, and non-comedogenic makeup. In more severe cases, dermatologist-prescribed topical treatments like retinoids may be recommended.

Fungal Acne:

• Technically a type of folliculitis or inflammation of the hair follicles, not acne.
• Caused by yeast in the follicle.
• Presents as red, itchy pustules.
• Common areas affected: hair-bearing areas such as cheeks, forehead, chest, and upper back.
• Treatment: Antifungal treatments like ketoconazole or pyrithione zinc. In severe cases, oral antifungal medications may be prescribed by a dermatologist.

It is essential to distinguish between closed comedones and fungal acne to ensure proper diagnosis and treatment.

Comparative Table: Closed Comedones vs Fungal Acne

Here is a table summarizing the differences between closed comedones and fungal acne:

Closed comedones, also known as whiteheads, are caused by excess sebum production, hormonal imbalances, and the accumulation of dead skin cells. They are typically small, non-inflamed bumps and are commonly found on the forehead, nose, and chin. Treatment for closed comedones usually involves a consistent skincare routine with gentle exfoliation, oil-free products, and non-comedogenic makeup.

Fungal acne, on the other hand, is caused by the overgrowth of Malassezia yeast, which thrives in humid environments. It presents as red, itchy pustules that may resemble traditional acne but often appear uniform in size. Fungal acne often appears on the cheeks, forehead, chest, and upper back. Treatment for fungal acne may involve antifungal medications or antifungal skincare products.