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. Melanotic macule on the lower lip Download Scientific Diagram Melanotic Macules, Naevi, and Melanoma Springer Nature Link Labial Melanotic Macules in Atopic Dermatitis: An Observational Study Semantic Scholar
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melanotic macule on lip Oral Melanotic Macule: Symptoms and Treatment