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Ways Patients Typically Notice It A new dark patch spotted while examining healing after a cosmetic procedure A darker area on the tip or side of the tongue seen during routine brushing Discoloration visible in a photograph or selfie taken for another reason A bluish hue noticed alongside changes in taste or swallowing difficulty Pigmentation pointed out by a dentist or clinician during an unrelated exam Discovery during workup for pigmentary changes elsewhere on the body, eyes, or nails What Causes Hyperpigmentation On Tongue

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