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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Tiny, Oval, Dark Spots On Lips And Inside The Mouth Be?

Sure, I was brushing my teeth and discovered a tiny oval dark spot on my lower lip. Its smooth - not a bump. There is a teeny spot close to it that looks like a pin prick - the same deep reddish brown as the oval one. Does not hurt. Nor are they raised. They are on inside also.
Mon, 11 Dec 2017
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Dermatologist 's  Response
Hi.
As per your case history you are having hyperpigmentation due to vitamin b12 deficiency.
My treatment advice is -
1. Take good nutritious diet full of green leafy vegetables and milk.
2. Apply a triamcinolone gel on dark part twice daily.
3. Take a vitamin b12 supplement once daily for 3 months.
4. Other treatment options are topical steroid and injectable vitamin b12 given only after consulting a dermatologist.

Thanks.
Dr. Harshit bhachech.
MBBS, DDVL.
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What Could Tiny, Oval, Dark Spots On Lips And Inside The Mouth Be?

Hi. As per your case history you are having hyperpigmentation due to vitamin b12 deficiency. My treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Apply a triamcinolone gel on dark part twice daily. 3. Take a vitamin b12 supplement once daily for 3 months. 4. Other treatment options are topical steroid and injectable vitamin b12 given only after consulting a dermatologist. Thanks. Dr. Harshit bhachech. MBBS, DDVL.