The lesions usually develop in early childhood and are noted in adolescence, but occasionally first appear in late adulthood.
(The lesions; develop; T:usually) (The lesions; are noted; L:in adolescence) (The lesions; appear; L:in late adulthood; T:occasionally; T:first)
The lesions The lesions The lesions
develop are noted appear
T:usually
L:in adolescence
L:in late adulthood T:occasionally T:first