Black spots on tongue and pigmentation in NYC Ruby Laser Resurfacing 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? Congenital Melanotic Macule of the Tongue: Report of Two Cases and Literature Review Head and Neck Pathology Springer Nature Link Asymptomatic hyperpigmented lesions on tongue Indian Journal of Dermatology, Venereology and Leprology 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 Oral Melanosis