Vulvar Melanosis: Two Case Report ARC Journal of Dermatology Are These Hyperpigmented Lesions Cause for Concern? Consultant360 Melanosis of the vagina and human papillomavirus infection, an uncommon pathology: Case Report Brazil Dermoscopic and Clinical Features of Pigmented Skin Lesions of the Genital Area Dermoscopic and Clinical Features of Pigmented Skin Lesions of the Genital Area 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, Mucosal melanocytic macules