This image displays a typical brown oral melanotic macule, a flat, small lesion. This image displays a persistent brown spot on the lips called an oral melanotic macule. Oral melanotic macules typically have an even, brown color with a regular border. This image displays an oral melanotic macule in addition to freckling on the face.  This image displays an oral melanotic macule on the gums.
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Picture of Oral Melanotic Macule: This image displays a typical brown oral melanotic macule, a flat, small lesion. Divider line
This image displays a typical brown oral melanotic macule, a flat, small lesion.
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Signs and Symptoms
The most common locations for an oral melanotic macule include:
  • Lips, especially the lower lip
  • Gums (gingiva)
  • Inner cheek (buccal mucosa)
  • Roof of the mouth (hard or soft palate)
An oral melanotic macule appears as a solitary, flat, tan-to-dark-brown spot usually less than 7 mm in diameter. It has a well-defined border and a uniform color.

People can have more than one oral melanotic macule.
Last Modified: 18 Oct 2007
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