What is this needle mark on her inner arm? [Platonic Downer Lyric Doujin]

Murakumo

百合旅人
Elite Member
Jan 1, 2013
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In the original doujin "プラトニックダウナーリリック~ダウナー系元カノと×××する本~" (Betty), the girl Izumi has two needle marks on her inner arm, what does it mean? Is she a drug user or is it implied to be medical treatment? She is also shown with a bruise-like mark on her arm in a previous page and also says this is the last time she can see him
28.webp
 
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It could be a needle mark, or, more likely, it could be just the way her elbow pit is drawn. Remove those lines and the arm would just look strange.
 

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