Zambiri ― Chichewa

Wodwalayo adawonekera koyamba ali ndi miyezi isanu ndi zigaba zachikasu kumanja kwa scalp. Pofika miyezi isanu ndi umodzi, anali ndi ma papules owoneka bwino kwambiri kumbuyo kumanja kwa scalp. M’zaka zisanu zapitazi, madontho amene anakula pang’onopang’ono koma ankangokhalira kumanja kwa nkhope, m’mutu, ndi m’khosi. Sizipweteka kapena kuyabwa, ndipo wodwalayo akukula bwino. Tsaya lakumanja ndi mphumi zakwezeka pang’ono, zigaba zachikasu zomwe zimatambasula kutsogolo ndi mbali ya nsonga. Zogwirizana ndi zigaba zimakhala ndi ma hyperpigmented, verrucous papules, kupanga mizere kuchokera kumbuyo kwa scalp mpaka kumbuyo kwa khosi kumanja.
The patient first showed up at five months old with yellow patches on the right front of the scalp. By six months, they had hyperpigmented verrucous papules on the back right side of the scalp. Over the past five years, these spots slowly grew bigger but stayed only on the right side of the face, scalp, and neck. They aren't painful or itchy, and the patient is growing normally. The right cheek and forehead have slightly raised, yellow patches that stretch onto the front and side of the scalp. Connected to these patches are hyperpigmented, verrucous papules, forming lines from the back of the scalp to the back of the neck on the right side.