Oral Mucosal Melanosis IntechOpen Causes of Black Spots on Tongue Living In Well Being 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 in a leukoderma patient: a comprehensive case report Mcula melantica oral en un paciente con leucoderm