Tongue Discoloration in a Young Girl The Journal of Pediatrics Congenital Melanocytic Macule of the Tongue in a Newborn Cureus Congenital Melanotic Macules of the Tongue The Journal of Pediatrics Figure 1 from Oral Melanosis Semantic Scholar 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 Black hairy tongue syndrome