In a review for The Guardian [U.K.], “Skin by Sergio del Molino review—a meditation on psoriasis and the psyche; A sufferer writes about how the skin condition affected figures as diverse as Joseph Stalin, John Updike and Cyndi Lauper,” Houman Barekat notes that del Molino was 21 when he first experienced psoriasis symptoms.

Barekat summarizes the affliction: “a chronic autoimmune condition that causes an overproduction of epidermal cells, resulting in scaling on the surface of the skin” that “appear in red blotches that sometimes crack and bleed.” Barekat identifies the accompanying related symptoms—arthritis, back pain, chronic fatigue—and zeroes in on del Molino’s contrast between the way that the disease affected Stalin (and his two henchmen who also had psoriasis) and Updike:

“Conversely, on a happier note, Updike credited his psoriasis as the driving force of his talent, remarking in his memoirs that: ‘Whenever in my timid life I have shown some courage and originality it has been because of my skin.'”

Updike famously wrote about his psoriasis in “At War with My Skin,” which was first published in The New Yorker and then became one of the central essays in Self-Consciousness: A Memoir (1989). Handwritten jottings that appear to be the start of the essay are on display at The John Updike Childhood Home in Shillington, Pa.

Del Molino also referred to Updike in his Dec. 16, 2021 opinion piece that was published in The New York Times: “Very few dared to write in any depth about their illness. John Updike is one exception. He dedicated a novel and part of his memoirs to psoriasis, and it was thanks to those that I became aware of my own monstrous nature. I wrote a book to explain myself through these figures. My life, like theirs, is governed by my skin condition.” Part of that quote appears as well in del Molino’s first-person account written for Asharq Al-Awsat on Dec. 25, 2021 titled “What Makes Me a Monster.”