05 May 03 Eng Do you know the difference between hyperpigmentation and melasma? Etre Vous 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 Differences among Dermoscopic Findings in Riehl's Melanosis of the Cheek and Neck Oral hyperpigmentation Clinical Advisor