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 Becker's nevus (Becker's melanosis, Becker's pigmentary hamartoma, nevoid melanosis, pigmented hairy epidermal nevus) Dermatology Advisor Clinical and Dermoscopic Characteristics of Facial Hyperpigmentation Disorders in Skin of Color ScienceDirect Figure 1 from HIV Associated Oral Mucosal Melanin Hyperpigmentation: A Clinical Study in a South African Population Sample Semantic Scholar 104 Disorders of Pigmentation Plastic Surgery KeyPlastic Surgery Key Pigmented Lesion on the Hard Palate AFP