Minocycline can cause hyperpigmentation of the conjunctiva, oral mucos
a, and skin. Pigmentation of the oral mucosa may also be associated wi
th a variety of endogenous or exogenous factors. Lingual pigmentation
may be seen in Addison's disease, amalgam tatoo, malignant melanoma, P
eutz-Jegher's syndrome, and other diseases. Two women who had isolated
pigmentation of the tongue while taking minocycline are described; no
other drug-induced pigmentation of their oral mucosa or skin occurred
. Minocycline-induced pigmentation should be added to the differential
diagnosis oi isolated lingual hyperpigmentation.