Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus 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 Figure 1 from Oral melanotic macule a case report. Semantic Scholar Metastatic oral malignant melanoma transformed from pre existing pigmented lesions in mandibular gingiva: Report of an unusual case ScienceDirect