Azalea leaves swelling into thick, cream-colored, then brown, succulent distortions indicate azalea leaf gall (Exobasidium vaccinii)—a fungal disease transforming leaf tissue into spore-producing galls. It's cosmetic, not lethal.
Cultural (preferred): Hand-pick and trash galls before they turn white (spore stage). Reduces inoculum for next year.
Chemical (preventive only): Fungicide at bud break next spring (chlorothalonil, mancozeb, or copper). Once galls form, sprays don't help current season.
This is a manageable aesthetic issue, not a health crisis.
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