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 MELANOTIC MACULE Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Pigmented macular lip lesion Clinical Advisor Melanin synthesis PPT
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melanotic macule causes Ch22: Pigmentations of the Oral Mucosa and Facial Skin