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. A collection of resources for RACGP exams Next Gen GP Text Book live webinars AKT and KFP questions Labial Macules: Dark Spots on the Lip Dermatology Advisor Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome