How to treat acne on my back

« ...The first step in fighting acne is to see a dermatologist, or a medical doctor who specializes in the science of skin, its treatment and diseases. A dermatologist can offer many suggestions for treatment of your acne, as well as advice and support. Dermatologists work with patients to develop a treatment plan that can include topical and systemic medications. For those who suffer from Grade III or Grade IV, a dermatologist is a must in treating your acne. Severe acne of this type does not respond to over-the-counter drugs. ...
...The basic cause of acne is still unknown. It seems to be a multifactorial disease in which interaction of several factors play an important part in the pathogenesis. The primary event may be (a) obstruction of the sebaceous duct due to alteration in the pattern of keratinization within the follicle, (b) abnormal sebum production with excess quantities or altered composition or (c) increased bacterial colonization (proprionibacterium acnes and staphylococcus epidermi¬dis of pilosebaceous follicles which furnish the lipases responsible for hydrolysis of sebum triglycerides into free fatty acids. All three mechanisms may be involved. Obstruction of duct leads to forma¬tion of a comedone, the initial lesion of acne. A comedone can be located either in a closed follicle as a 'white head' consisting of lipid and keratin, or in an open follicle as 'black head' consisting of keratin and lipid with melanin deposition. The continual accumula¬tion of keratin and lipid may lead to rupture of the follicular wall and release of its contents into the surrounding dermis provoking an inflammatory tissue reaction....»
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«...Cystic acne requires to be treated as early as possible. This is because of the likelihood of additional cyst formation and the tendency to turn into acne scars. Dermatologists might treat such condition by draining the lesions in case, the lesion is not responding to any other treatment and the condition has gone beyond its normalcy. The incision and drainage is generally followed by a course of specific antibiotics....»
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