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Is this acne, keratosis, dry skin, or bacteria?

This has lasted about 3 weeks on my outer shoulders (both sides).  I've tried different shampoos/conditioners, changing my diet, using salicylic acid, toners, scrubs, bactine.  And still hasn't gone away.  Anyone knows what this could be?
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18524847 tn?1465595901
I am not sure what it looks like.  Sounds like you've tried lots of things.  Can you get it checked out by a doctor?
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