The internet is freaking out over Lil Kim's appearance, but some Twitter users are suggesting that perhaps there's a sad reason behind it, and it's something no one's talking about.

Body dysmorphic disorder has no cure, is debilitating, and chronic. To have BDD is to be consumed by and obsessed with a perceived physical flaw of yours, according to the Mayo Clinic. Having BDD means that you could miss school or work because you're so afraid that others will notice your "flaws," according to Anxiety and Depression Association of America.

However, and it's important to note, that Lil Kim has not ever publicly said that she has BDD.

There have been both rumors and speculation that the rapper suffers from the disorder, given her ever-changing appearance, which some fans have less-than-tactfully pointed out.

While many have accused her of trying to look like a white woman, with one fan even posting on the rapper's Facebook, "I can't support a woman who hates her own skin," the issue may run far deeper than anyone realizes.

"All my life men have told me I wasn't pretty enough--even the men I was dating. And I'd be like, 'Well, why are you with me, then?'" Kim told Newsweek in 2000. "It's always been men putting me down just like my dad. To this day when someone says I'm cute, I can't see it. I don't see it no matter what anybody says."

That's in-line with how many BDD patients talk about themselves. "Everyone else, everyone is beautiful," according to "Lucy," a woman suffering from BDD told researchers in Journal of Health Psychology. "I just feel that I am that one ugly person, and I am with all those people who like say, the Tree Man or the Elephant Man, I am in their league … I see myself as lower than everyone else."

That's why, as The Root points out, Lil Kim's face isn't anything to laugh at. "I have low self-esteem and I always have," Lil Kim explained in the Newsweek interview. "Guys always cheated on me with women who were European-looking. You know, the long-hair type. Really beautiful women that left me thinking, 'How I can I compete with that?' Being a regular black girl wasn't good enough."