melanotic macule differential diagnosis 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 Pathology Outlines - Melanotic macule
Pathology Outlines Melanotic macule Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review COM Jan. 2008 Diagnosis UW School of Dentistry Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Oral melanoacanthoma and oral melanotic macule: a report of 8 cases, review of the literature, and immunohistochemical analysis
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