ATYPICAL PRESENTATIONS AND RESPONSES TO CROSS HORMONAL THERAPY IN TRANSGENDER PATIENTS.
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2019, Vol 4, Issue 1
Abstract
AIM: To describe atypical presentations and follow-up of transgender men and women in situations of cross-hormonal therapy followed at a specialized outpatient clinic. METHOD: a case series comprised of ve transgender patients in which atypical ndings at presentation and follow-up were observed. RESULTS: Case #1: A 29-year-old transgender woman (TGW) presented with normal bone density and absence of fractures ten years after surgical castration induced by sexual affirming surgery. Possible mechanisms such as initial exposure to testosterone until the age of 19 by natural puberty followed by 9 years of high-dose oral estradiol may well be resulted in residual bone effect. Case #2: Diffuse scaling erythroderma in use of testosterone cypionate in transgenic man with uncertain pathophysiology. Case #3: False elevation of lean mass at full-body densitometry in a transgender woman, probably by inammatory reaction and brosis between adjacent tissues and the surface of the silicone prosthesis in the hip and buttocks, facilitating the passage of Xrays and overestimating lean mass. Case #4: Evidence of gender incongruity during investigation for high stature in prepubertal male, rejecting the use of testosterone to close the epiphyseal cartilage and initiating the use of high doses of estrogen and antiandrogen. Case #5: Induced cross-puberty in a transgender boy 10 years of age due to severe gender dysphoria, preserving bone age and mental health. CONCLUSION: Our cases illustrate uncommon presentations and hormonal responses in transgender patients.
Authors and Affiliations
Sérgio Ricardo de Lima Andrade, Laís Jorge Mendes, Maria Elba Bandeira de Farias, Francisco Alfredo Bandeira e Farias
Keywords
Related Articles
- EP ID EP598800
- DOI -
- Views 61
- Downloads 0
EVOLUTION OF THE CELL BLOOD COUNT (CBC) PARAMETERS IN THE CONSTANT K2.EDTA CONCENTRATION WITH DIFFERENT BLOOD VOLUMES: A RANDOMIZED STUDY
Background: All of we know that the phlebotomy is a very hard practice in some conditions. So, it's important to get the best results with the lowest blood sample value. K2.EDTA is usually used as a routine anticoagulant...
NATURE, NURTURE AND CULTURE: INFLUENCE OF VARIOUS FACTORS ON HEALTH
Lifespan can be explained as the period of time of a person's life in which they live or expected to live. (Collins English Dictionary, 2017). According to Larkin (2013, p. 8), the life cycle is dened as different key s...
STRUCTURAL CHANGES AND PATOLOGY OF TENDONS IN THE ELDERLY
Tendons are fundamental structures for maintaining posture and achieving movements.Tendons consist of compact connective tissue, they are slightly vascularized, receiving their blood supply primarily from the surrounding...
CONGENITAL MACRODACTYLY: A CASE REPORT
Macrodactyly is an increase in the size of one or several ngers or toes. It is characterized by an increase in all mesenchymal elements particularly bro-adipose tissue. This should be distinguished from secondary digit...
INTRACRANIAL CHRONIC EPIDURAL HEMATOMAS: TECHNICAL NOTE
Intracranial chronic epidural hematomas can be rarely found in patients victims of head trauma. The diagnosis is usually delayed because of the absence of neurologic focus signs. Re-bleeding is possibly the underlying me...