Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road Northeast Suite 100, Atlanta, GA 30322, USA.
Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road Northeast Suite 100, Atlanta, GA 30322, USA.
Dermatol Clin. 2020 Apr;38(2):219-226. doi: 10.1016/j.det.2019.10.006. Epub 2019 Nov 26.
Although most teenagers experience acne, for sexual and gender minority teenagers, acne could be more challenging and require specific psychosocial considerations. Acne may be more strongly associated with mental health issues in sexual and gender minority adolescents. Acne development during puberty may trigger gender dysphoria in transgender patients. Transgender and gender nonbinary patients receiving testosterone therapy may experience new or worsening acne. Comprehensive care for moderate to severe acne in sexual and gender minority adolescents should include culturally competent discussions about sexual behaviors, contraception, and/or gender-affirmation treatment plans.
尽管大多数青少年都会经历痤疮,但对于性少数和跨性别青少年来说,痤疮可能更具挑战性,需要特别考虑社会心理因素。痤疮可能与性少数和跨性别青少年的心理健康问题更密切相关。青春期痤疮的发展可能会引发跨性别患者的性别焦虑。接受睾酮治疗的跨性别和非二元性别患者可能会出现新的或恶化的痤疮。对于性少数和跨性别青少年中至重度痤疮的综合治疗应包括文化上合适的关于性行为、避孕和/或性别肯定治疗计划的讨论。