Acanthosis nigricans is a skin disorder that leads to hyperpigmentation of some areas of the body, like the underarms, groin, knees, neck, folds of the hands and legs, knuckles, elbows, etc. It can also be an indicator of future diabetes. Excessive insulin, obesity, Addison's disease, medications like contraceptive pills, thyroid supplements, etc., are some causes.
Acanthosis Nigricans
This article discusses the causes and management of dirty non-cleanable darkness over the neck and underarms, known as acanthosis nigricans.

Oral Papillary Lesions of Acanthosis Nigricans
Acanthosis nigricans appear as papillary lesions in the mouth, resembling oral lesions of human papillomavirus (HPV). Read to know more.