Very infrequently, gastric melanosis and pseudomelanosis have been described.1-6 Melanosis refers to melanin deposition, and pseudomelanosis is due to hemosiderin deposition. The etiology of these entities is poorly understood, and endoscopically, it is generally very difficult to differentiate between melanosis and pseudomelanosis. They are, likely, incidental endoscopic findings with minimal clinical significance. Gastric and duodenal pseudomelanosis manifests as speckled black pigmentation or black spots in the mucosa.