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Dermatologic Conditions in Transgender Populations.
Howa Yeung1, Benjamin Kahn2, Bao Chau Ly2
1Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Suite 100, Atlanta, GA 30322, USA; Regional Telehealth Services, Veterans Integrated Service Network 7, 250 N Arcadia Avenue, Decatur, GA 30030, USA.
Transgender individuals undergoing gender-affirming care may develop unique skin conditions like acne or melasma. Recognizing and treating these dermatological issues is crucial for overall well-being and quality of life.
Area of Science:
- Dermatology
- Endocrinology
- Gender-affirming care
Background:
- Transgender persons undergoing gender-affirming hormone therapy and procedures can experience specific skin conditions.
- These dermatological issues are frequently underdiagnosed and underrecognized, impacting quality of life and mental health.
- A comprehensive understanding of these conditions is vital for effective patient care.
Purpose of the Study:
- To discuss the pathophysiology, diagnosis, and treatment of common skin diseases in transgender populations.
- To highlight unique dermatological considerations for transmasculine and transfeminine individuals.
- To emphasize the importance of integrating skin health into multidisciplinary gender-affirming care.
Main Methods:
- Review of common dermatological conditions associated with gender-affirming hormone therapy.
- Discussion of specific skin issues prevalent in transmasculine and transfeminine populations.
- Analysis of postprocedural cutaneous complications and their management.
Main Results:
- Transmasculine patients commonly experience acne vulgaris and male pattern hair loss.
- Transfeminine patients may present with hirsutism, pseudofolliculitis barbae, and melasma.
- Cutaneous complications, including keloids, can occur post-procedure.
Conclusions:
- Skin conditions in transgender patients require specific consideration within gender-affirming care.
- Early diagnosis and appropriate management of dermatological issues can improve patient outcomes.
- Multidisciplinary collaboration is essential for addressing the unique skin health needs of transgender individuals.
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