Pathology Outlines Melanotic macule Dark Colored Lesions: Brown, Blue, Gray, or Black Disorders Obgyn Key Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Not every dark spot 'down there' is dangerous but some can be Many women notice small brown or black spots on the vulva called melanotic macules. These are usually harmless, flat, Mucosal melanocytic macules Melanocytic Lesions of the Vulva Clinical Tree