Skin acne at the shoulder blades, is likely to be folliculitis, can not be ruled out is herpes zoster, acne, patients can be analyzed according to the specific symptoms as well as medical history, etc. 1, folliculitis: folliculitis is usually caused by Staphylococcus aureus infections, daily cleaning is not in place, scratching, the body’s resistance is low can be triggered by folliculitis. The lesions will appear red congested papules, pustules, surrounded by redness with inflammation. Patients should pay attention to cleanliness and hygiene, change clothes diligently, in the bath appropriate use of sulfur soap, can play a clean, bactericidal, anti-inflammatory effect, severe inflammation can be applied under the guidance of the doctor anti-inflammatory ointment local application treatment or oral antibiotic treatment; 2, herpes zoster: herpes zoster for chickenpox – herpes zoster virus infection caused by the majority of the elderly or immunodeficiency patients, the patient’s childhood often have a history of chickenpox. Herpes zoster initial manifestation for local skin itching, pain, and then appear herpes, red rash, strung together into a band, to the trunk and face is common, was unilateral distribution. At this time need to isolate the treatment, keep the skin broken parts clean, to prevent bacterial infection, under the guidance of the doctor can be used locally aciclovir emulsion coating treatment, if severe pain can be given painkillers; 3, acne: acne on the shoulder blades may also be acne, the patient is usually accompanied by acne on the face, chest and other parts of the acne, characterized by pimples, papules, pustules. Daily life need to pay attention to light diet, control sweets, greasy, spicy stimulating food intake, quit smoking and alcohol quit, strengthen physical exercise, improve their resistance, usually pay attention to keep the skin clean.