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. What Caused These Multiple Hyperpigmented Macules of the Mouth? Diagnosis of oral pigmentations and malignant transformations ScienceDirect Differential diagnosis of an oral mucosal pigmented lesion: a case of essential melanosis
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oral melanotic macule removal and Lights for Treating Pigmented Lesions