COM Dec. 2011 Diagnosis UW School of Dentistry 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 Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Pigmented (Purple or Brown) Lesions in the Mouth melanotic macule Archives Kazemi Oral Surgery Facialart.com color 43 Pigmented Lesions of the Oral Mucosa Springer Nature Link
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an oral melanotic macule Oral Melanotic Macule: Symptoms and Treatment