Pigmented Lesions Springer Nature Link Matt 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 Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 COM March 2009 Diagnosis UW School of Dentistry Pigmented Lesions Pocket Dentistry Mucosal melanocytic macules