close-up of old man's hands with vitiligo skin discoloration. a way of life with seasonal skin conditions.

adult area asian autoimmune background body care chronic close-up condition conditions depigmentation dermatology discoloration disease disorder effort face female figure georgian hand hands health hide human illness isolated life lifestyle man's medical medicine melanin melanocyte melanocytes old one palm patches patchy patient people person pigment pigmentation problem seasonal sickness skin skinny soft spot stand struggle symbol vitiligo white woman young