The image shows a person’s back covered in moderate to severe acne-like lesions, inflammation, and scarring. This condition, commonly known as back acne (bacne), can sometimes be influenced by nutritional deficiencies, hormonal imbalances, or poor skin hygiene. Although diet is not the sole cause, several vitamin deficiencies may worsen the skin’s condition or delay healing:

1. Vitamin A
Vitamin A plays a crucial role in skin regeneration and reducing inflammation. A deficiency can lead to hyperkeratinization, where dead skin cells clog pores, causing breakouts. Retinoids (Vitamin A derivatives) are often used in acne treatments.

2. Vitamin D
Low Vitamin D levels are linked to increased inflammation and immune dysfunction. Since this vitamin regulates antimicrobial peptides in the skin, deficiency can contribute to chronic acne and infections.

3. Zinc
Though technically a mineral, zinc is vital for immune response and skin healing. Zinc deficiency has been associated with severe acne, especially on the back and chest.

4. Vitamin E
As a powerful antioxidant, Vitamin E helps protect skin cells from oxidative damage and supports healing. Its deficiency may lead to more visible acne scars and slow recovery.

5. Omega-3 Fatty Acids (Not a vitamin, but relevant)
A lack of omega-3s can increase inflammation, which may worsen acne symptoms.

Conclusion:
This condition may reflect deficiencies in Vitamin A, D, E, and zinc, all of which support skin health. However, acne can also be triggered by hormonal changes, high glycemic diets, stress, or hygiene habits. Consulting a dermatologist is essential for accurate diagnosis and treatment. Supplements should not be self-prescribed.