We propose the term mucosal melanotic macule, reactive type, for this lesion, which has been described previously under the misnomer oral melanoacanthoma.

Melanotic macules are caused by increased melanin production in areas of the gums, lower lip, or roof of the mouth (palate).

A 74-year-old woman presented for examination of a well-circumscribed large gray–blue macule on the hard palate (Figure). The lesion had been evident for the past few months without causing any ...