Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Labial Macules: Dark Spots on the Lip Dermatology Advisor Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update Melanotic 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
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oral melanotic Oral Malignant Melanoma - Oral Cancer Foundation