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hi welcome back to doctor donovan medicine made easy in todayamp;#39;s video weamp;#39;re going to be looking at the clinical sign known as aganthosis nigricans acanthosis nigricans is the name given for dry dark patches of skin that usually appear in the armpits the neck or the groin it could also be a sign of an important underlying condition and so these need to be checked out by a gp or a doctor if you notice them so first of all letamp;#39;s start off by discussing the signs and symptoms of acanthosis nigricans well the main symptom of vac enthusiast nigricans are patches of skin that are darker or thicker than usual they can appear on any part of the body but theyamp;#39;re most common in skin folds such as the armpits the neck or the groin people often comment that the patches feel dry or similar to velvet and some people also notice tiny growths known as skin tags on the patches as you can see on this photo on screen here the patches often appear gradually without a