Dermatological care of gender-diverse patients in Australia.

IF 2.2 4区 医学 Q2 DERMATOLOGY
Roy Kingsley Wong, Jenny Harrington, Annabel Irene Stevenson
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Abstract

In recent years, there has been an increasing recognition of the unique healthcare needs of gender-diverse patients in Australia. With the continuous growth of referrals to gender health services, there is an increased demand for specialised dermatological care. There is still a significant knowledge gap and a lack of guidelines specifically tailored to this patient group. In this article, we will provide a brief overview of the journey of Transgender and Gender Diverse (TGD) individuals as they embark on psychological and pharmacologic treatment for gender dysphoria in Australia. We endeavour to contribute to the existing body of knowledge by examining the evidence surrounding the treatment of skin, hair and nail issues for TGD patients. This article will outline how dermatologists can assist in the care of the gender-diverse patient. Although puberty blockade (stage 1 treatments) has minimal dermatological impact, gender-affirming pharmacotherapy (stage 2 treatments) can lead to many dermatological issues including acne, patterned hair loss (PHL) and dermatitis. The dermatologist may also play a role in stage 3 treatments which include surgical or procedural interventions for gender affirmation.

澳大利亚对不同性别患者的皮肤病护理。
近年来,人们越来越认识到澳大利亚不同性别患者独特的医疗保健需求。随着转诊到性别健康服务机构的人数持续增长,对皮肤病专科护理的需求也在不断增加。目前,针对这一患者群体的知识缺口仍然很大,也缺乏专门针对这一患者群体的指南。在本文中,我们将简要介绍澳大利亚变性人和性别多元化(TGD)人士在接受心理和药物治疗以治疗性别障碍时的历程。我们将通过研究 TGD 患者皮肤、头发和指甲问题治疗的相关证据,努力为现有知识体系做出贡献。本文将概述皮肤科医生如何协助护理性别多元化患者。虽然青春期阻断(第一阶段治疗)对皮肤病的影响很小,但性别确认药物治疗(第二阶段治疗)可导致许多皮肤病问题,包括痤疮、模式化脱发(PHL)和皮炎。皮肤科医生还可能在第三阶段治疗中发挥作用,第三阶段治疗包括通过手术或程序干预来确认性别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
5.00%
发文量
186
审稿时长
6-12 weeks
期刊介绍: Australasian Journal of Dermatology is the official journal of the Australasian College of Dermatologists and the New Zealand Dermatological Society, publishing peer-reviewed, original research articles, reviews and case reports dealing with all aspects of clinical practice and research in dermatology. Clinical presentations, medical and physical therapies and investigations, including dermatopathology and mycology, are covered. Short articles may be published under the headings ‘Signs, Syndromes and Diagnoses’, ‘Dermatopathology Presentation’, ‘Vignettes in Contact Dermatology’, ‘Surgery Corner’ or ‘Letters to the Editor’.
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