A 27-year-old woman was presented with these dark skin patches with 6-months old history, hirsutism, and amenorrhea. Examination Cancer screening was negative. Laboratory tests revealed elevated level of insulin (>200µU/mL; Normal range: 2-13 µU/mL), and testosterone: 649ng/dl (Normal range: 9 to 63 ng/dL).

Identify this derma condition. *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!