As inquiries into the tragedy last night focused on the star’s personal physician Dr Conrad Murray, a source close to the Jackson entourage said: “Michael’s family and fans will be horrified when they realise the appalling state he was in.

“He was skin and bone, his hair had fallen out and had been eating nothing but pills when he died. Injection marks all over his body and the disfigurement caused by years of plastic surgery show he’d been in terminal decline for years.