Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in What Caused These Multiple Hyperpigmented Macules of the Mouth? Lip melanotic macula Hoogstra Medical Centers
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melanotic macula Melanotic macules of the tongue in a newborn