A 9 year old boy presented for evaluation of dark spots on the tongue. The family first noted these spots 5 months prior and reported that they remained stable. Can you make a diagnosis? Pigmented fungiform papillae of the tongue Cosmoderma Congenital Melanotic Macules of the Tongue The Journal of Pediatrics Congenital Melanotic Macule of the Tongue: Report of Two Cases and Literature Review Head and Neck Pathology Springer Nature Link