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Acne or something else?

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I do have hashimotos but i manage it with diet (Gluten free, dairy and sugar free with some grains)  and i dont take any meds except Supplements.  My skin is dry especially in the winter time. I use lotions to keep in moist. What i dont understand is why healthy eating cannot restore my skin to be moist. I experence this strange issue. Sometimes when my skin feels dry it itches in some spots. If i scratch that spot i develop acne there and it is extremely difficult to heal that tiny red spot with natural products, however if I use the product that contains Traminicolone Ointment 0.1% the acne spot goes away and clears and skin is restored. This only happens when i scratch the dry skin when it itches. Why this happens? Why scratching causes inflammation?   Is this acne or somerhing else?  here is the link to my red spot.


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