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  1. I'm an adult woman who gets very severe back acne in the winter months, typically Jan / Feb with completely clear back skin in the spring/summer/fall. This past year though was the first that the issue lasted into spring and early summer. During this time I had tried a variety of medications that I had on hand from other dermatological treatments, including retin-a, retin-a micro, BP, SA, clindamycin, etc. I also had a tube of ketoconazole as well as some other anti-fungals, steroids creams, etc