An 84 year old man with a history of metastatic melanoma of the scalp who was undergoing immunotherapy presented with new, multiple blue gray macules on the scalp. Definition of melanocytic macules associated with Peutz Jeghers syndrome NCI Dictionary of Genetics Terms NCI A Case Report of Oral Malignant Melanoma: A Silent Killer Cureus A brown macule on the arm and face Clinical Advisor This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding of the differential