Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review What Caused These Multiple Hyperpigmented Macules of the Mouth? Pigmented Lesions of the Oral Cavity Pocket Dentistry Oral Melanotic Macule: Symptoms and Treatment Skinsight 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