Ulwazi olwengeziwe ― Zulu

Isiguli siqale sabonakala sinezinyanga ezinhlanu sinamabala aphuzi ngaphambili kwesokudla sesikhumba sekhanda. Ezinyangeni eziyisithupha, base benama-papules aluhlaza okwedlulele ngemuva kwesokudla sesikhumba. Eminyakeni emihlanu edlule, la mabala akhula kancane kancane kodwa ahlala ngakwesokudla kuphela ebusweni, esikhumbeni nasentanyeni. Azinabuhlungu futhi aziluma, futhi isiguli sikhula ngendlela evamile. Isihlathi esingakwesokudla kanye nesiphongo kuneziqephu eziphakeme kancane, eziphuzi ezinwebeka ngaphambili naseceleni kwesikhumba sekhanda. Kuxhunywe kulawa ma-patches kunama-papules ane-hyperpigmented, aluhlaza, akha imigqa kusukela ngemuva kwesikhumba kuya ngemuva kwentamo ngakwesokudla.
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.