After a harrowing visit to her husband in prison, no one would expect Amy Winehouse to be looking her best.

But even by her own standards, the award-winning singer appeared to be in particularly desperate shape.

Heavy make-up failed to conceal the spots and scabs on her wrinkled cheeks, chin and nose.

There were also angry red welts on her arms, leading to fears that she has started self-harming again.

Overall, she could have passed for someone twice her 24 years.

Miss Winehouse’s spokesman has ...