It depends on which version of 'The Phantom of the Opera' you are refering to. In Andrew Lloyd Webber's musical, the Phantom sings about how he was born with a skin infection...which caused a "mother's fear and loathing". So it is most recently said to have been a skin infection, except that his musical version was slightly different from the original novel by Leroux. The most commonly accepted version and theory is that the Phantom was born with a disfigured face (and body). In the 1965 movie, his face was burned by acid, and in 'Phantom of the Paradise', his face is mutilated in a record press accident, just as an example of other theories.
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