'People don't understand the pressure on me to look perfect
She is one of the most photographed women in the world and makes millions from modelling.
But last night Kim Kardashian revealed to millions of viewers of Keeping Up With The Kardashians.had she had developed the skin disease psoriasis.
As a result the reality star gets an angry red rash, first on her legs, that soon spreads all over her body.
My career is over: In last night's episode of Keeping Up With The Kardashians, Kim panics when she develops an angry red rash all over her body
Not appealing: The reality star is horrified to find the red patches just before she has to shoot an ad campaign
'When I gain a pound, it's in the headlines. Imagine what the tabloids would do to me if they saw all these spots?'
Help! Her dermatologist tells Kim she has developed the skin disease psoriasis
All your fault mom! The condition was passed down from her mother Kris, who developed it at the same age
'I got it for the first time when I was exactly your age,' Kris tells her distraught daughter. 'I cried myself to sleep for months.'
Kim's doctor tells her the condition is incurable, and the best way to manage it is to lead a 'slower-paced life.'
But she is adamant, saying: 'It's just not possible.'
I can't do it: Kim begs her mother and manager Kris to cancel the lucrative photo shoot, but she refuses
Saved the day: The make-up artist on the shoot is able to cover up the rash
'I have to wear a sports bra and I have this rash all over my stomach,' she cries. 'What will the producers say? In a photoshoot they can just photo-shop it out but this is on video. They can't hide this.'
As her main source of income is from modelling and red carpet appearances, Kim is certain her career has come crashing down around her.
Make-up covers all: She relents and turns up to the photo shoot
Kim accuses her mother, who also acts as her manager, of just wanting her ten per cent commission.
After storming out, Kris waits nervously at the shoot the following day, not knowing if Kim will arrive.
With 200 crew members waiting and five minutes to spare, the reality star finally arrives, and after managing to cover the rash in make-up, completes the shoot.