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HomeAnswersDermatologypityrosporum folliculitisWhat is the medicine that treat acne scars in upper back?

What medicine can treat acne scars on my upper back?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At December 20, 2017
Reviewed AtFebruary 26, 2024

Patient's Query

Hello doctor,

I am a 31-year-old male. For no reason, my upper back has formed acne in the back of my shoulders and in the mid-upper back. I tried Benzoyl wash, Vanoxide Topical, and Doxycycline. There was no success. I am now using Hibiclens foam wash, Clindamycin and Benzoyl foam, and a Sulfamethoxazole tablet two times per day. This second regimen has only been going on for five days. How long can I expect results?

I also shave my shoulders which I know puts me at risk for folliculitis and other related conditions. However, I have never shaved my back and therefore do not understand how this occurred. Just when I think things look better, a trip to the gym and shower right afterward, it always makes things look worse. Am I wasting my time trying to fix this? Of note, I had very severe acne on the upper back and face when I was a teenager. I was on Doxycycline in the past.

Answered by Dr. Sushil Kakkar


Welcome to icliniq.com.

Perhaps it is Pityrosporum folliculitis. It is usually itchy and favors the back, and looks similar to acne. Do they itch in your case?

Pityrosporum folliculitis would require oral antifungals. Anyways acne that is unresponsive to usual antiacne medications, oral and topical, usually responds to oral Isotretinoin. Consult your specialist doctor, discuss with him or her, and with their consent, take medicine.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sushil Kakkar
Dr. Sushil Kakkar


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