I'd just like to tag onto a comment about vitamin E deficiency made to you, because it might alarm you unnecessarily.
"Overt vitamin E deficiency occurs only rarely in [adult] humans and virtually never as a result of dietary deficiencies." www.fasebj.org/content/13/10/1… Vitamin E: function and metabolism, Brigelius-Flohe, Traber.
And vitamin E deficiency mostly causes neurological signs, which cannot be assessed from five static photos (of a normal hand). So, don't be too alarmed by the armchair doctor passing by your deviation.