Lepromatous leprosy is a form of leprosy characterized by pale macules in the skin. It is a discrete, salmon-pink macules of different sizes. Mucosal lentigines is a cutaneous condition characterized by light brown macules on mucosal surfaces. Pigmented macules on the face are less common. Janeway lesions present as red, painless macules and papules on the palms and soles. The symptoms of melasma are dark, irregular well demarcated hyperpigmented macules to patches. Early symptoms include increased temperature and macules. They manifest as hypopigmented skin lesions (such as macules, papules, nodules), or facial redness. Vermillion border of the lips is the most common site to find melanotic macules. Amalgam tattoo being majority of the cases (46.3%), malanotic macules (22.9%) and nevus (20.5%). EM lesions are multiform (polymorphous) and include macules, papules, vesicles, and bullae. The lesions may be flat (macules), raised (papules), or solid elevated areas (nodular). Brownish macules could derive from some of these lesions. "Dyschromatoses" involve both hyperpigmented and hypopigmented macules. Newborns may have punctate macules, ecchymoses, or "blueberry muffin" lesions.