Superficial Malassezia folliculitis was diagnosed in 1-1.5% of all dermatology patients seen in a Dermatology Out-Patient clinic in Urumqi City, Xinjiang province, west China. It was most prevalent in healthy, middle-aged males in the warm seasons. This disease, first reported in 1969, is usually diagnosed as a systemic disease of immuno-compromised patients. Our findings indicate it is a relatively common superficial skin disease that can be managed with ketoconazole or itraconazole.