Pathology Outlines Melanotic macule Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus A cross sectional study of physiologic volar melanotic macules: Demographic, historical, clinical, and dermatoscopic features of a common yet neglected pigmentary variant in individuals with skin of color Journal of the American Pigmented Lesions of the Oral Mucosa Springer Nature Link 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 lower lips.