{"title":"A Narrative Synthesis Review of Legislation Banning Gender-Affirming Care.","authors":"Jessie Melina Garcia Gutiérrez, Emerson Dusic, Audren J K Bambilla, Arjee Javellana Restar","doi":"10.1007/s40124-024-00320-y","DOIUrl":"10.1007/s40124-024-00320-y","url":null,"abstract":"<p><strong>Purpose of review: </strong>In recent years, there has been a drastic increase in legislation across US states that aims to ban gender-affirming care (GAC) for transgender and nonbinary (trans) youth. We synthesized the literature on bans on GAC, its impacts on medical and mental health providers, trans communities, particularly trans youth and their caregivers (e.g., parents/families), and provided recommendations for future research and advocacy.</p><p><strong>Recent findings: </strong>We highlight several adverse impacts of legislation banning GAC, including: an increase in professional tensions for medical and mental health providers that work with trans youth and worse mental health outcomes for trans youth and their caregivers due to loss of autonomy in accessing evidence-based GAC.</p><p><strong>Summary: </strong>Bans on GAC undermine evidenced-based practices and are resulting in negative health effects for trans communities and youth. Research evidence highlights the need to examine effects of bans at the intersections of gender identity, socioeconomic status, race, and ethnicity.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"12 3","pages":"44-51"},"PeriodicalIF":3.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11935454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Courtney A Smith, Anna Pulminskas, Julia Rogers, Anna Fischer, Chelsea Deitelzweig, Chiagoziem Ohamadike, Leslie Lawley, Howa Yeung
{"title":"Managing common dermatologic needs in transgender and gender-diverse adolescents.","authors":"Courtney A Smith, Anna Pulminskas, Julia Rogers, Anna Fischer, Chelsea Deitelzweig, Chiagoziem Ohamadike, Leslie Lawley, Howa Yeung","doi":"10.1007/s40124-025-00344-y","DOIUrl":"10.1007/s40124-025-00344-y","url":null,"abstract":"<p><strong>Purpose of review: </strong>Transgender and gender-diverse (TGD) adolescents often face dermatologic concerns during gender-affirming care but may face limited access to dermatologists. This review aims to provide practical guidance for pediatricians on managing common dermatologic needs in TGD adolescents, including acne, hair growth promotion or removal, and post-surgical scarring within the context of gender-affirming care.</p><p><strong>Recent findings: </strong>Acne management should consider the impact of testosterone therapy and chest binding, with treatment options including topical retinoids, benzoyl peroxide, oral antibiotics, combined oral contraceptives, and spironolactone. Topical minoxidil may be considered for the promotion of facial, and scalp hair growth. Hair removal methods and complications such as pseudofolliculitis barbae should be discussed with TGD adolescents seeking temporary or permanent hair removal. Hypertrophic scarring and keloids may occur after gender-affirming chest reconstruction, with management involving topical silicone gel and adhesive silicone sheeting.</p><p><strong>Summary: </strong>TGD adolescents may struggle to identify specialists trained in gender-affirming dermatologic care and may delay or avoid care due to past mistreatment in clinical settings. Pediatricians play a key role in managing the dermatologic concerns of TGD adolescents by creating a gender-affirming, safe, and supportive care environment and facilitating early dermatology referrals when appropriate.</p>","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"13 ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Eosinophilic Esophagitis, Then and Now: A Review","authors":"Roopali Mittal","doi":"10.1007/s40124-023-00309-z","DOIUrl":"https://doi.org/10.1007/s40124-023-00309-z","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139218136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bracken, Rebecca Lenihan, A. Khanijau, E. Carrol
{"title":"The Aetiology and Global Impact of Paediatric Sepsis","authors":"A. Bracken, Rebecca Lenihan, A. Khanijau, E. Carrol","doi":"10.1007/s40124-023-00305-3","DOIUrl":"https://doi.org/10.1007/s40124-023-00305-3","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"39 23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139228630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manu R. Varma, Ana L. Vasquez Choy, Rakesh Donthula, Brian Feingold
{"title":"Novel Diagnostics for Pediatric Heart Transplant Rejection","authors":"Manu R. Varma, Ana L. Vasquez Choy, Rakesh Donthula, Brian Feingold","doi":"10.1007/s40124-023-00310-6","DOIUrl":"https://doi.org/10.1007/s40124-023-00310-6","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"36 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ensuring the Success of Pediatric Cardiology Patients Through the Lifespan: Translating Current Transition Medicine Research into Programmatic Implementation","authors":"Hannah Y. Lee, Keila N. Lopez","doi":"10.1007/s40124-023-00307-1","DOIUrl":"https://doi.org/10.1007/s40124-023-00307-1","url":null,"abstract":"","PeriodicalId":72740,"journal":{"name":"Current pediatrics reports","volume":"113 52","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135138409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}