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Differentials to be considered Addison Disease Blue Nevi Ephelides (Freckles) Kaposi Sarcoma Oral Nevi Other Problems to be Considered: Amalgam tattoo Graphite tattoo Oral melanotic macule Peutz-Jeghers syndrome Physiologic pigmentation The amalgam tattoo is a frequent finding in persons who have had amalgam restorations (ie, fillings)

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