Esse Ilhan, Kincaid Colin M, Terrell Carrie Ann, Mesinkovska Natasha A
Department of Dermatology, University of California, Irvine, California.
Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, Minnesota.
JAAD Int. 2023 Oct 6;14:92-98. doi: 10.1016/j.jdin.2023.07.022. eCollection 2024 Mar.
Female genital mutilation (FGM) is a common cultural practice, which involves the partial or complete removal of the external female genitalia. With increasing immigration from regions where the practice is endemic, there has been a growing prevalence of FGM in the United States and other developed nations. However, most medical professionals lack the baseline knowledge regarding FGM and its associated health complications. Given this increasing trend, dermatologists should anticipate an increasing number of patients with a history of FGM in their practice. While some of the obstetric, gynecologic, and psychologic consequences of FGM have been well-reported, the dermatologic findings are less characterized. Thus, this review article aims to provide dermatologists with a fundamental understanding of the prevalence, cultural significance, and health implications of FGM with a focus on the associated dermatological findings and provides recommendations on how dermatologists can address this sensitive matter.
女性生殖器切割是一种常见的文化习俗,涉及部分或全部切除女性外生殖器。随着来自该习俗流行地区的移民增加,美国和其他发达国家女性生殖器切割的患病率也在上升。然而,大多数医学专业人员缺乏关于女性生殖器切割及其相关健康并发症的基础知识。鉴于这种增长趋势,皮肤科医生在其临床实践中应预计会有越来越多有女性生殖器切割史的患者。虽然女性生殖器切割的一些产科、妇科和心理后果已有充分报道,但皮肤病学方面的表现特征较少。因此,这篇综述文章旨在让皮肤科医生对女性生殖器切割的患病率、文化意义和健康影响有基本的了解,重点关注相关的皮肤病学表现,并就皮肤科医生如何处理这一敏感问题提供建议。