Let's be fair: It's only a portrait of a woman is not happy. Happy because they live just a little too long and are similar to some horror allegory Crone. Too bad, because he clearly suffers from some strange health problems. Not happy because they do not have access to health care to solve this problem. And perhaps most unfortunate of all, because they give their bodies over the demons that now walk the earth in human skin, grow only distinguished by a black eye and bloody horns from their heads.
This may be a common skin disease called horn skin, basically compressed keratin - the same protein in hair and nails - protruding from the epidermis. If this is indeed a leather horn, they are often benign and can be removed through surgery. Although this should not be treated the causes that come with excessive sun exposure had destroyed the skin, or the devil to the inside of empty shells back into life with suicide left.
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