Acne vulgaris, Malassezia folliculitis, and bacterial folliculitis can be treated with topical creams and oral medications.
1. Acne vulgaris: recurrent inflammatory papules, pustules, nodules and cysts are the main clinical manifestations. The chest area is dominated by inflammatory papules and pustules.
Treatment is divided into local and systemic treatment. Local use of fusidic acid cream, clindamycin hydrochloride gel, etc.; systemic treatment can be oral tanshinone capsules, minocycline hydrochloride capsules, etc., and pay attention to sunscreen during the period of medication.
2. Malassezia folliculitis: it occurs in sebaceous gland-rich areas, such as the chest and neck. The rash is a dome-shaped red papule, surrounded by a red halo, direct microscopy can see ovoid spores.
Topical treatment for this disease can choose ketoconazole lotion; oral antifungal drug treatment, such as itraconazole, can be chosen. Liver function should be tested regularly during the medication, and the specific dosage should be taken under the guidance of a physician.
3. Bacterial folliculitis: Due to the sweaty male chest and the skin is easily rubbed by the shirt, the bacteria are easy to proliferate in the hair follicles and sebaceous glands, resulting in bacterial folliculitis. The lesions are mostly red papules, and rapidly evolve into papules.
You can use local antibiotic ointment, such as fusidic acid cream, mupirocin ointment, etc.; systemic treatment can be oral amoxicillin, roxithromycin and so on.
Men with chest acne, it is recommended to go to the hospital in a timely manner, the above drugs need to follow the doctor’s instructions for reasonable application.