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. The labial melanotic macule: a review of 79 cases Pathology Outlines Melanotic macule dermoscopy: A pigmented labial lesion Labial melanotic macule COM March 2009 Diagnosis UW School of Dentistry
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melanotic macule lower lip Labial Melanotic Macules in Two Pediatric Patients of Chinese Descent With Atopic Dermatitis - Katsiaunis - 2025 - Pediatric Dermatology