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The clinical signs and symptoms of Melanotic Macules of Oral Mucosa include the following: The presence of pigmented skin lesions/spots in the mouth and on the lips (lower lips usually) In the mouth, these lesions may be seen in the oral mucosa and tongue When macules are present on the lips, it is known as labial melanotic macules They form discolored flat and asymmetric patches less than 1 cm in size The color of the macules may be uniform or non-uniform
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