This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips. Oral melanoacanthoma and oral melanotic macule: a report of 8 cases, review of the literature, and immunohistochemical analysis AD :: Annals of Dermatology Clinical Challenge: Dark Lesion on Lower Lip MPR
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labial melanotic macule vs melanoma Mucosal melanocytic macules