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Acne on back


So this is really annoying. I've had acne on my back for quite some time now, and it seems to go away every summer vacation, which is great, I guess obviously because of the sun. I've had it under control for quite some time, except now it's come back, and it's really bad. It's really just my upper back, specifically around the shoulders. There's one on my neck, though, and it literally hurts so much! The cysts on my back hurt also. It's embarassing, what makes it keep coming back? Especially in winter... Any ideas or comments? Thanks in advance. I hate this, I thought it was getting under control...

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