melanotic macule on lower lip macule. Benign. Dark spot labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight ⬆️ in single basal melanocytes; NO nests. More info like this in DermDx: Brown Macule on Lip
DermDx: Brown Macule on Lip Dermatology Advisor Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome PMC Oral pathology: Noting a pigmented macule that often presents a diagnostic dilemma Registered Dental Hygienists Labial melanotic macule (brown spot on lip) (Stony Brook Case 1) dermatology dermatopathology Oral Melanotic Macule: Symptoms and Treatment Skinsight
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