[tcrlaf]

Meth Acne, from the looks of it. Meth use can destroy looks in months not years.

[Buckeye McFrog]

You are likely correct. Rural PA is having real serious problems with meth.

[rikkir]

Meth Acne

I doubt it. She’s not skinny enough, and her teeth seem to be intact.

I’d say Munchhausen Syndrome, and regular acne.

This mental illness causes people to do some sick stuff.
They just convicted a woman here of putting human feces in her child’s IV.