Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus dermoscopy: A pigmented labial lesion 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 What Caused These Multiple Hyperpigmented Macules of the Mouth? DermDx: Brown Macule on Lip Dermatology Advisor
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melanotic macule lip treatment Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months