Oral hyperpigmentation is common in patients older 40 years. But lesions in a newborn are unusual and congenital melanotic macule of the tongue has rarely been reported. A 2-month-old infant with 3 pigmented lesion on the right side of the dorsal tongue was evaluated. They were brown black but not homogeneous in color, smooth, nonblanchable, and nonpalpable, with irregular margins. We recommend excisional biopsy under general anesthesia because of possibility of malignancy, but parents refuse invasive procedure. On a following-up examination of the child at the age of 1 year, the pigmented lesions were unchanged. We report a case of congenital melanotic macules on the tongue and a review of literature about the lesion.

• 김강혁(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Kang Hyuk Kim
• 조정우(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Jung Woo Cho
• 정승환(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Seung Hwan Jung
• 김진수(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Jin Su Kim
• 박재억(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Je Uk Park
• 김창현(가톨릭대학교 서울성모병원 구강악안면외과학교실, Department of Oral and Maxillofacial Surgery, Seoul St.Mary’s Hospital, The Catholic University of Korea) | Chang Hyen Kim Correspondence