Primary malignant melanoma of the tongue CJS A) Hairy black tongue. (B) Linea alba. (C) Oral melanotic macule. (D) Download Scientific Diagram ORAL MELANOSIS leading to the diagnosis of HIV infection. Despite being a weak association, any unexplained oral pigmentation in a high risk individual should make one suspect HIV associated oral melanosis and proceed Black spots on tongue and pigmentation in NYC Ruby Laser Resurfacing Pigmented fungiform papillae, or papillary tip melanosis Registered Dental Hygienists