Generalized

Pigmentation due to bismuth poisoning. The gingival margin is pigmented bilaterally

 Generalized

pigmentatio n due to lead poisoning. The gingival margin is pigmented

 Brown

pigmentation on mucosa and skin

 Ephelis, also known as freckle. A brown

macule is present on the vermilion zone of the lower lip.

 This patient has

multiple ulcers associated with primary herpes. Each ulcer is covered by a white to yellow fibrin clot

 Elongated

filiform papillae on the dorsum of the tongue

 Hairy tongue

stained black due to coffee and/or tobacco.

 Diffuse compressible purple enlargement of the

right anterior tongue. The lesion blanches upon pressure.

 Port-wine stain (nevus flammeus) of the hand.

 Multiple ulcers on the labial mucosa,

commissures and gingiva

 An ulcer on the perioral skin.

 A cluster of small ulcers is present on the right

hard palate and gingiva.

 A circumscribed

purple compressible surface lesion on the hard palate. The lesion blanches on pressure.

 Purple

surface lesion on skin of temple region

 A thickened, firm, nontender, well

circumscribed, dark brown surface lesion on the right hard palate.

 A persistent nonthickened brown

asymptomatic macule on the left soft palate.

 Multiple

irregularly shaped pigmented lesions are present on the right hard and soft palate. Some of the lesions are flat, while others are thickened.

 A diffuse thickened darkly pigmented lesion of

the mandibular right gingiva and alveolar mucosa

 An example of generalized pigmentation.

 A nonthickened

nontender black surface lesion is present on the facial gingiva in the mandibular canine incisor region