most common place for melanotic macule macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight ⬆️ in single basal melanocytes; NO nests. More info like this in Pigmented (Purple or Brown) Lesions

Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Oral Melanotic Macule: Symptoms and Treatment Skinsight A Black Spot on the Upper Gum for Many Years: Melanotic Macule Springer Nature Link Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics

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