Exclusive: Photos of Michael Jackson Show Signs of Vitiligo and Needle Punctures

July 14, 2009— -- Exclusive photos of Michael Jackson obtained by ABC News show a serious wound on the pop star's right leg, which a medical expert said appears to be surrounded by unusual needle punctures.

"On the photographs of Michael Jackson, it looks like there was necrosis on his lower leg where there might have been fluid that went into his lower leg," a possible result of an IV that had leaked into the leg, Dr. Debra Jaliman, a leading dermatologist and spokeswoman for the American Academy of Dermatology, told ABC News.

"It looks like there are multiple puncture points from IV placement," she said.

The wound seen in the photos, which were taken in 2002, could have been a result of contact with highly caustic, acidic fluid that would burn the skin and cause it to turn black, Jaliman said.

"If, in fact, he had an IV here, and the IV fluid, which may have been acidic fluid, went into his skin, it might may have, in fact, destroyed the skin," she said. "That's all dead skin that would then make an ulceration underneath that skin."

In the photos, Jaliman highlighted areas of blue discoloration in Jackson's leg and puncture marks, which she said point to needle entry.

"If you look at his lower leg you can see puncture points here, so it looks like there was a needle entry here, possibly a needle entry here on his leg," she told ABC News.

Jaliman called the practice of placing an IV in a leg "very unusual."

"In 22 years of training, I've never seen an IV placed in the legs. You would put, you know, IVs in hands, arms, but oftentimes in my training when I have dealt with people who didn't have veins anymore in their hands or arms, you look for veins that you can use and sometimes you have to look in other areas of the body," Jaliman said.

Reports of prescription drug abuse had dogged Jackson for much of his career.

Marc Schaffel, a long-time adviser to Jackson, said the star was dangerously addicted to the painkiller Demerol, as well as to a cocktail of other opioid drugs, such as Oxycontin.

"It's Michael who wanted the drugs -- Michael who was doing it. Nobody could stop Michael except Michael himself," Schaffel said. "If, in fact, the family was able to spend time with him over the last couple years, they would know he was on drugs."