O/E: There is a 6 mm in diameter dark tan macule on the lower lip. Dermatocopic exam shows pigmented dots.
Labial Melanocytic Macule.
Discussion: There are only very few references that describe the dermatoscopic appearance of these lesions. Those I found were solitary case reports. The brown dots may indicate the lesion is in the active growth phase. I offered to biopsy the lesion, but told the patient it was likely a LMM and is shepreferred, we could follow her up in 3 months.