Oral medicine: 7. red and pigmented lesions Dental Update Congenital Melanocytic Macule of the Tongue in a Newborn Cureus Black hairy tongue syndrome 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 melanotic macule Stock Image C067 2476 Science Photo Library