Marks Dustin H, Awosika Olabola, Rengifo-Pardo Monica, Ehrlich Alison
George Washington University School of Medicine and Health Sciences, Washington, DC.
Department of Dermatology, The George Washington Medical Faculty Associates, Washington, DC.
Dermatol Surg. 2019 Mar;45(3):446-457. doi: 10.1097/DSS.0000000000001718.
Transgender individuals experience common and unique dermatologic concerns from severe acne associated with testosterone therapy in transmen to complications due to illicit silicone injections in transwomen. Currently, 2 survey studies and 4 reviews have addressed the dermatologic care of transgender individuals. However, none of them provide a focus on the dermatologic surgeon.
To assess the dermatologic considerations in transgender individuals and the role of dermatologic surgeon in their care.
The PubMed and MEDLINE databases were reviewed in June 2018 using keywords, such as transgender, procedures, hair removal, laser, and hormone therapy.
In total, 48 relevant publications addressing dermatologic care in transgender patients were reviewed. According to the literature, there are several critical dermatologic considerations in transgender patients, including hair growth and removal, acne vulgaris, facial procedures to masculinize and feminize the face, scar removal, and sexually transmitted infections.
As dermatologic surgeons have the privilege to improve the health care of transgender patients, they must understand the common and unique concerns of transgender individuals. Given the considerable spectrum of physical goals expressed by transmen and transwomen, individual patient preference must ultimately guide his/her/their dermatologic care.
跨性别者有一些常见且独特的皮肤问题，从男跨女接受睾酮治疗引发的严重痤疮到女跨男非法注射硅胶导致的并发症。目前，有2项调查研究和4篇综述涉及跨性别者的皮肤护理。然而，这些研究均未聚焦皮肤科医生。
评估跨性别者的皮肤相关考量因素以及皮肤科医生在其护理中的作用。
2018年6月，使用“跨性别者”“手术”“脱毛”“激光”和“激素治疗”等关键词对PubMed和MEDLINE数据库进行了检索。
共检索到48篇关于跨性别患者皮肤护理的相关出版物。根据文献，跨性别患者存在几个关键的皮肤相关考量因素，包括毛发的生长与去除、寻常痤疮、使面部男性化或女性化的面部手术、瘢痕去除以及性传播感染。
由于皮肤科医生有责任改善跨性别患者的医疗护理，他们必须了解跨性别者常见且独特的问题。鉴于男跨女和女跨男所表达的身体目标范围广泛，最终必须根据患者个人偏好来指导其皮肤护理。
