Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia JaypeeDigital eBook Reader 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 Unusual Extensive Physiologic Pigmentation of the Tongue: A Case Report Cureus