Dermatologic disorders in transgender patients: acne, keloid scars, pseudofolliculitis, melasma

Patients with gender dysphoria (transgender people), receiving gender-affirming hormone therapy and/or surgical treatment, often face specific skin conditions. Dermatological lesions can result in higher rates of body image dissatisfaction, gender dysphoria, anxiety, depression, and suicidal ideation among transgender patients. The article provides a review of commonly observed skin conditions induced by gender-affirming therapy (acne vulgaris, hypertrophic and keloid scars, pseudofolliculitis barbae, melasma), their clinical manifestation, and current treatment strategies.