Malassezia folliculitis may lead to skin pigmentation, but not all patients will develop pigmentation, which may be related to individual patient differences, complications and other factors. Malassezia folliculitis is an inflammatory damage of hair follicles caused by Malassezia bacteria, which occurs in sebaceous gland-rich areas such as the neck, chest, back of shoulder, etc. It manifests as inflammatory follicular papules and pimples, which are mostly symmetrically distributed, and may be itchy to varying degrees, and may result in scarring or hyperpigmentation after the folliculitis subsides. In addition, Malassezia folliculitis is often complicated by florid furosemide, which manifests as brown spot-like skin changes, and over time, the spots will gradually merge to form hyperpigmentation. Patients need to avoid scratching and rubbing the local skin in daily life to avoid causing skin infections, resulting in hyperpigmentation; wear loose, soft clothes to keep the skin clean; avoid spicy and stimulating food, regular work and rest, and appropriate exercise. It is recommended that patients with Malassezia folliculitis seek medical attention in a timely manner and standardize treatment under the guidance of a doctor in order to control the condition and reduce complications.