The labial melanotic macule: a review of 79 cases Pigmentation Document Gale OneFile: Health and Medicine Lip melanotic macula Hoogstra Medical Centers COM Jan. 2008 Diagnosis UW School of Dentistry An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth. An oral melanotic
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labial melanotic macule 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