In this fourty-second archive story by Kristian Bertel, we meet an Indian woman affected by a skin disease at the Qutab Rd in Delhi, India. Read the background story of this archive photo by the photographer.
In this portrait taken by the photographer at the Qutab Rd in Delhi an Indian woman is seen with the skin disease vitiligo. It is a chronic disorder that causes pigmentation of pathes of the skin and it occurs when the cells responsible for skin pigmentation die or are unable to function. The cause of the vitiligo is unknown, but research suggests that it may arise from genetic and stress causes.
In this portrait taken by the photographer at the Qutab Rd in Delhi an Indian woman is seen with the skin disease vitiligo. It is a chronic disorder that causes pigmentation of pathes of the skin and it occurs when the cells responsible for skin pigmentation die or are unable to function. The cause of the vitiligo is unknown, but research suggests that it may arise from genetic and stress causes.

Qutab Rd portraiture

Traveling though the streets of India, the photographer wanted to seek out faces with a story. As a photographer he was traveling the dusty side of Delhi at one of the main roads in the city when he encountered the Indian woman portrayed above in this archive story. She is affected by a skin disease called vitiligo that was visible in some of the face of the woman.

Skin disease portrait in India
When traveling and photographing in India you meet a lot of people and a lot of people with different looks. The woman pictured above has a skin disease called Vitiligo, a chronic skin condition characterized by portions of the skin losing their pigment. It occurs when skin pigment cells die or are unable to function. Aside from cases of contact with certain chemicals, the cause of vitiligo is unknown. Research suggests vitiligo may arise from autoimmune, genetic, oxidative stress, neural, or viral causes. Vitiligo is typically classified into two main categories named segmental and non-segmental vitiligo. Half of those affected show the disorder before age twenty, though most develop it before age forty. The global incidence of vitiligo is less than one percent with some populations averaging two to three percent and rarely as high as sixteen percent. Autoimmune diseases such as Addison's disease and Type 1 diabetes mellitus tend to occur more often in people who have vitiligo. There is no known cure for vitiligo but many treatment options are available. The only sign of vitiligo is the presence of pale patchy areas of depigmented skin as seen in this phtograph from India and which tend to occur on the extremities. The patches are initially small, but often grow and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists. The loss of skin pigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils, genitalia and umbilicus. Some lesions have increased skin pigment around the edges. Patients who are stigmatized for their condition may experience depression and similar mood disorders. Although multiple hypotheses have been suggested as potential triggers that cause vitiligo, studies strongly imply that changes in the immune system are responsible for the condition. Vitiligo has been proposed to be a multifactorial disease with genetic susceptibility and environmental factors both thought to play a role. The TYR gene encodes the protein Tyrosinase, which is not a component of the immune system, but is an enzyme of the melanocyte that catalyzes melanin biosynthesis and a major autoantigen in generalized vitiligo. Some state the sunburns can cause the disease but there is not good evidence to support this.

The etymology of the term 'vitiligo' is believed to be derived from 'vitium', meaning 'defect' or 'blemish'. In non-segmental vitiligo, knowns as NSV, there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Vitiligo where little pigmented skin remains is referred to as vitiligo universalis. NSV can come about at any age unlike segmental vitiligo, which is far more prevalent in teenage years. Classes of non-segmental vitiligo include the following that are Generalized Vitiligo, which is the most common pattern, wide and randomly distributed areas of depigmentation. Universal Vitiligo, which is depigmentation encompasses most of the body. Focal Vitiligo which is one or a few scattered macules in one area, most common in children. Acrofacial Vitiligo which is fingers and periorificial areas. Mucosal Vitiligo which is depigmentation of only the mucous membranes.

Portraits of faces in India
As a photographer and traveler in India the portrait has been first priority for the photographer and the thing in photography that is saying him the most. Both as a photographer but also as a storyteller between locations in India. "- With her pale and light yellow shawl around her face, she almost makes her own room in the street scenery. With a thoughtful facial expression and with a child in her arms, she seem to be in her very own world at the hectic road. The picture therefore poses the question of who we recoqnize in the streets and why. My photographic work captures the different faces of the land, for those of you who have not been there, I see the Indian series of pictures though my profession as a photographer as eye-opening and necessary", the photographer says.

More archive stories

India is a land full of stories. On every street, on every corner and in the many places in India, life is rushing by you as a photographer with millions of stories to be told. In the archive story above, you hopefully had a readable insight in the story that was behind the photo of an Indian woman at the Qutab Rd in Delhi. On this website of Kristian Bertel | Photography you can find numerous travel pictures from the photographer. Stories and moments that tell the travel stories of how the photographer captured the specific scene that you see in the picture. The photographer's images have a story behind them, images that all are taken from around India throughout his photo journeys. The archive stories delve into Kristian's personal archive to reveal never-before-seen, including portraits and landscapes beautifully produced snapshots from various travel assignments. The archive is so-far organized into photo stories, this one included, each brought to life by narrative text and full-color photos. Together, these fascinating stories tell a story about the life in India. India, the motherland to many people around the world, a land of unforgetable travel moments. The archive takes viewers on a spectacular visual journey through some of the most stunning photographs to be found in the photographer's archive collection. The photographer culled the images to reflect the many variations on the universal theme of beauty and everyday life in India. By adding these back stories the photographer's work might immensely enhanced the understanding of the photographs.