Black Hairy Tongue New England Journal of Medicine Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists 05 May 03 Eng 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 Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia