Labial Melanotic Macule : features, causes , symptoms and treatments

 LABIAL MELANOTIC MACULE 

A labial melaantic macule is a well- defined , oval , brown  to black , flat patch on the central third of the lower lip . it is the name for a freckle arising on the lip . It is th ename for a freckle arising on the lip . it is also sometimes called  a labial lentigo and when  multiple lesions are present , mucosal melanosis. 



THE CLINICAL FEATURES OF LABIAL MELANOTIC  FRECKLE 

A labial melanotic macule is most commonly seen in adult women but it also occurs in males and young people . occasionally the lesion can be on thre upper lip . Size range from 1-8 mm. The lesion usually remain unchanged in size and color . they can occasionally have an irregular edge and there may be a history of color change which can cause confusion with other pigmented lessions ,including  melanoma . Melanoma is very rare on the lip . 


SYMPTOMS OF LABIAL MELANOTIC MACULE 



CAUSES OF LABIAL MELANOTIC MACULE 

A labial melanotic macule is thought to be provoked by sun exposure , and it is more common in fair - skinned people . It may also occur in dark - skinned individual and ,as described above ,similar lesion can arise in sites that are never sun exposed . Melanotic macules are harmless.  

Other Conditions Cause Lip Pigmentation 

A labial melanotic macule may be confused with another pigmented skin lesion . 

  • Freckle 
  • Lentigo 
  • Solar Lentigo 
  • Venous haemangioma 
  • Amalgam Tattoo 
  • Junctional Melanocytic Naevus 
  • Lentigo Maligna 
  • Superficial Spreading Melanoma 

THE TREATMENT OF LABIAL MELANOTIC MACULE 





Typical lesions can just be observed . Suspicious lesions , including  lesion showing progressive change , should biopsied . Treatment is requested the macule can be frozen or removed using a laser or intense pulsed light . excision can also be performed but will  leave a scar . 




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