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. Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months Melanotic Macules, Naevi, and Melanoma Springer Nature Link Mucosal melanocytic macules Labial Melanotic Macules in Two Pediatric Patients of Chinese Descent With Atopic Dermatitis Katsiaunis 2025 Pediatric Dermatology Wiley Online Library