focal melanoses melanotic macules Pigmented Lesions of the Oral Mucosa Melanocytic Lesions | A Guide
Description
It inhibits gamma-butyrobetaine hydroxylase ( -butyrobetaine dioxygenase), thereby reducing endogenous L-carnitine availability ( -oxidation (Figure 1)

doi: 10.1002/rcm.1505

Knowing your triggers and managing them with proper food choices makes a significant difference at this stage

Oral melanoacanthoma was first reported in 1978 [2] and to the best of our knowledge, only 50 cases of melanoacanthoma have been reported in the literature to date (Table 1) [214]
