Oral Melanosis Congenital Melanotic Macule of the Tongue: A Five Year Follow up Dermatology Practical & Conceptual 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 a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram Congenital lingual melanotic macule Oral Melanosis