Pigmented lesions of the oral mucosa and perioral tissues: a flow chart for the diagnosis and some recommendations for the management ScienceDirect Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review 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 Pathology Outlines Melanotic macule
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labial melanotic macule upper lip Freckle on Lip: Meaning, Causes and Is It Dangerous? (Labial Melanotic Macule) – La Bouche Parfaite