Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review Oral melanoacanthoma and oral melanotic macule: a report of 8 cases, review of the literature, and immunohistochemical analysis Spotty lips. These are labial melanotic macules, kinda like freckles on the lips. They are mostly due to age and sun exposure, but sometimes they run in families and are associated with Cafe au Lait Spots (Macules): Background, Pathophysiology, Etiology
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a melanotic macule Figure 22–5 from Pigmentations of the Oral Mucosa and Facial Skin