It's possible that it could be acanthosis nigicrans.
This happens to people who are insulin resistant (quite common with PCOS). The excess insulin "spills" over onto the skin, and creates dark spots. The skin is velvety and "thick" to touch. Often, it affects areas such as the groin, back of neck, elbows, armpits, and even the face.
Take heart, that these symptoms do improve when your body starts to use insulin more effectively - with exercise and diet.
I hope this helps.
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