Congenital Melanotic Macule of the Tongue: A Five Year Follow up Dermatology Practical & Conceptual COM March 2009 Diagnosis UW School of Dentistry 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 Macular Pigmented Oral Mucosal Lesions: An Amalgam Tattoo Case Report Dentistry Today