Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review 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. Oral Melanotic Macule: Symptoms and Treatment Skinsight A flat and oval shaped melanotic macule on the vermilion border of the Download Scientific Diagram