Congenital Melanotic Macules of the Tongue The Journal of Pediatrics Matt 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 Labial melanotic macule Mucosal melanocytic macules Differential Diagnosis of Pigmented Lesions in the Oral Mucosa: A Clinical Based Overview and Narrative Review