Exclusive: Photos of Michael Jackson Show Signs of Vitiligo and 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.

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