>>282939194
it's rosacea, a more or less chronic inflamation of the skin on certain parts of your face. I have it on my nose. Here's a particularly bad case that looks like kikuchi. As other anons pointed out, it's made worse by alcoholism, though we don't see kikuchi drink. My guess is it's just supposed to further make him look like a country bumpkin for reasons you will find out in a couple of chapters