Cutaneous adverse drug reaction image Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal COM Jan. 2008 Diagnosis UW School of Dentistry Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia Clinical view of the patient showing extensive melanin pigmentation on 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