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You may need topical medications for this. Back acne may require a dermatologic consult. Topical medications may be sufficient for milder forms of acne but for more severe forms like nodular or cystic acne, these may need a dermatologic intervention.
Do not self medicate. You may use a mild and gentle cleanser to wash your back to avoid any further irritation. Use light cotton clothes and avoid clothes of irritating material. Keep your back covered and dry.
Have you had a consult with a dermatologist consult already?