genital melanotic macules pictures Penile Macules: A Case Report Clinician's Update on the Benign,

They are most common in young women but may also be seen in young girls and older women

Physiological gingival melanin hyperpigmentation is often more pronounced in the anterior than in the posterior part of the mouth, and the buccal/labial surfaces are more intensely pigmented than the lingual/palatal [35]

If biopsy is carried out because of either patient or clinician concern, increased melanin will be found in both the melanocytes and keratinocytes which line the basal layer of the epithelium

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In these smooth lesions, the presence of scale can be identified when the surface is gently scraped with a blade held perpendicular to the top of the lesion