Pigmented fungiform papillae of the tongue Cosmoderma 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 Tongue Discoloration New England Journal of Medicine A Focal Intrinsic Physiologic Pigmentation of : Journal of Pharmacy and Bioallied Sciences