penile melanotic macules or fordyce spots A) Clinical presentation of the melanosis showing a large Fordyce Spots: Causes, Symptoms, Treatment
Description
It can often be done by the physician who diagnosed you
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Sartor, O., Weinberger, M., Moore, A., Li, A

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Pathological assessment by an experienced dermatopathologist is recommended, as pigmented lesions, especially with Spitzoid characteristics, can be extremely difficult to characterise as benign or malignant

It can also occur after swallowing blood, such as from a nosebleed or after coughing up blood
