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 Pigmented fungiform papillae of the tongue Cosmoderma Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Simple cryosurgical treatment of the oral melanotic macule ScienceDirect COM Jan. 2008 Diagnosis UW School of Dentistry