Unusual Extensive Physiologic Pigmentation of the Tongue: A Case Report Cureus A 9 year old boy presented for evaluation of dark spots on the tongue. The family first noted these spots 5 months prior and reported that they remained stable. Can you make a diagnosis? Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal 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 Freckle on Lip: Meaning, Causes and Is It Dangerous? (Labial Melanotic Macule) La Bouche Parfaite Congenital lingual melanotic macule: an underreported entity? European Journal of Pediatric Dermatology