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If a skin biopsy is performed because the lesion is changing or looks irregular, a melanotic lip macula shows the following characteristics in dermatopathology: Increased melanin at melanocytes and keratinocytes of the basal cap Melanophages at dermal papillae, which indicates pigmentary incontinence Mild acanthosis without lengthening the challenge ridges Nuclear atypia is absent and the melanocyte The count is normal

doi:10.1002/jimd.12032

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