Indian patient (mid 70s) with chief concern tongue is turning black. Swipe for more photos. These post inflammatory changes are more common in folks with more melanin in their skin. The underlying 05 May 03 Eng Unusual Extensive Physiologic Pigmentation of the Tongue: A Case Report Cureus Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Congenital Melanotic Macules of the Tongue The Journal of Pediatrics Simple cryosurgical treatment of the oral melanotic macule ScienceDirect