Hermosura Almazan Timothy, Kabigting Filamer D
Stanford University.
Dermatol Online J. 2016 Oct 15;22(10):13030/qt01j5z8ps.
Literature is limited regarding the medical and cosmetic dermatologic issues pertinent to transgender patients and the reasons why 19 transgender individuals seek care from dermatologists. Clinical management of this population has historically been limited to 20 mental health providers, endocrinologists, and select surgeons with expertise in sex reassignment surgery. The impact of hormonal 21 therapy on transgender skin has been well documented in endocrinology journals, but is underrepresented in dermatology 22 literature. Hormonal therapy leads to drastic skin alterations, impacting sebum production, hair growth, and acne, all of which may 23 become a dermatologic concern for the transgender patient. Dermatologists may also be consulted regarding issues such as 24 permanent hair removal, androgenic alopecia, or scar revision following breast reduction surgery or genital reassignment surgery. 25 The purpose of this review is to provide relevant information for use by all dermatology providers who care for transgender 26 patients or patients undergoing transition.
关于与跨性别患者相关的医学和美容皮肤科问题，以及19名跨性别者寻求皮肤科医生治疗的原因，相关文献有限。历史上，对这一群体的临床管理仅限于心理健康服务提供者、内分泌学家，以及在性别重置手术方面有专业知识的特定外科医生。激素疗法对跨性别者皮肤的影响在内分泌学杂志中有充分记载，但在皮肤科文献中却很少提及。激素疗法会导致皮肤发生剧烈变化，影响皮脂分泌、头发生长和痤疮，所有这些都可能成为跨性别患者的皮肤科问题。皮肤科医生还可能会就诸如永久性脱毛、雄激素性脱发，或隆胸手术或生殖器重置手术后的瘢痕修复等问题提供咨询。本综述的目的是为所有照顾跨性别患者或正在接受转变过程的患者的皮肤科医生提供相关信息以供参考。
