Big Girls Don't Cry

You are like freckles

in and out in tune with seasons

black and white like vitiligo.

Who destroyed your melanocytes!

Left you in patches of extremism.

Your sensitivity proliferates

as keratinocytes in psoriasis

with premature assumptions

manifesting parakeratosis.

The acne preceded

your youth, so chronic

you’ve become fixed like pemphigoid;

even though detached from reality

you remain aloof with no hemidesmosomes.

Your little irritations, IgA mediated

leaves you in an itchy feat

too self-conscious of everything but your diet

unaware that it is the gluten irritating you

not the rest of the world.

Your groins and axilla are darkened

from years of sugar lust,  Insulin going

through a mindless labor

giving up,

leaving glucose to

inflict whatever wills.

Your crooked ways, abnormal borders, color

and increased size  once a radial growth

threatening no-one now goes vertically into

your dermis, a sign of an invasion,

a fragment goes to your heart, bringing

you back to the dust, from where you came.

Death found you S100 positive.

On your tombstone:

here goes pemphigus Vulgaris

sour lip blistered from years of misuse.

With disconnected spines, who could blame your outrage

no desmosomes to bring you home.

You will soon spill away thanks to fate or IgG.

In the afterlife, everyone recognizes your scars

stuck on like seborrheic keratosis

they multiple daily, a sign that your gut

is hosting a tumor

even there in the afterlife, you make no friends

over sensitive to a multitude, you have come

down with Steven Johnsons

necrotizing cells turning black

from hemoglobin’s dismay.

RIP