Huang Christina, Gold Sarah, Radi Rakan, Amos Seth, Yeung Howa
Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.
Clinical Resource Hub, Veterans Affairs Southeast Network Veterans Integrated Service Network 7, Decatur, GA, USA.
Adolesc Health Med Ther. 2022 Oct 7;13:93-106. doi: 10.2147/AHMT.S344078. eCollection 2022.
Transgender adolescents seek gender-affirming medical care to address gender identity and incongruence. Improved understanding of the dermatologic impact of gender-affirming medical care such as pubertal suppression, hormone therapy, and surgeries can enhance patient outcome. Pubertal suppression treats dysphoria associated with development of secondary sex characteristics, including androgen-driven acne. Gender-affirming hormone therapy influences acne and hair development in transgender adolescents. Dermatologists can help manage skin effects associated with chest binding and gender-affirming hormone therapy and surgery. Provision of patient-centered gender-affirming care in dermatologic and multidisciplinary settings is essential to improve skin and overall outcomes of gender-affirming therapy.
跨性别青少年寻求性别肯定医疗护理以解决性别认同和不一致问题。更好地理解诸如青春期抑制、激素治疗和手术等性别肯定医疗护理对皮肤病学的影响，可改善患者预后。青春期抑制可治疗与第二性征发育相关的烦躁不安，包括雄激素引起的痤疮。性别肯定激素治疗会影响跨性别青少年的痤疮和毛发发育。皮肤科医生可帮助处理与束胸以及性别肯定激素治疗和手术相关的皮肤问题。在皮肤科和多学科环境中提供以患者为中心的性别肯定护理对于改善性别肯定治疗的皮肤状况和整体预后至关重要。
