Pigmented Lesions of the Oral Mucosa Springer Nature Link Pigmentation Document Gale OneFile: Health and Medicine Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia Oral pigmented lesions: Clinicopathologic features and review of the literature 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.