Pathology Outlines Melanotic macule PDF] Penile Melanosis Associated with Lichen Sclerosus et Atrophicus: First Description in the Medical Literature Semantic Scholar PDF] Clinical and Dermoscopic Features of Vulvar Melanosis Over the Last 20 Years. Semantic Scholar 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,