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. Pigmented Lesions of the Oral Mucosa Pocket Dentistry An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth. An oral melanotic Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review 40 F. 4 mm dark brown macule on lower lip. Diagnosis? Digital slide: https: kikoxp.com posts 8019. Answer https: www.youtube.com watch?v=O2yi2ir0Ubg #pathology #pathologists #pathTwitter #dermpath #dermatology #dermatologia #dermtwitter