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 macules of the tongue in a newborn Journal of the American Academy of Dermatology Mucosal melanocytic macules Labial Melanotic Macule Diagnosed by Dermoscopy
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labial melanotic macules Figure 9 from Pigmented lesions of the oral cavity: review, differential diagnosis, and case presentations