Close this panel
Browse By Date
Browse By Poster Author
Browse By Title
Close this panel



Sérgio Andrade – medico, md

Elba Bandeira, MD, MSc – consultant endocrinologist, Hospital Agamenon Magalhães

Francisco Bandeira – MEDICO, MD, PhD

Sérgio Andrade – medico, md


Objective : To describe atypical presentations and follow-up of transgender men and women in situations of cross-hormonal therapy followed at a specialized outpatient clinic.

Methods :

This is a series of cases, which was performed through the data base analysis from transgender patients attending our endocrine outpatient clinic. The study was approved by Institutional Ethics in Research Committee.

Results : Case #1: A 29-year-old transgender woman presented with normal bone density and absence of fractures ten years after surgical castration induced by sexual affirming surgery. Case #2: Diffuse scaling erythroderma in use of testosterone cypionate in transgender man. Case #3: False elevation of lean mass at full-body densitometry in a transgender woman. Case #4: Evidence of gender incongruity during investigation for high statured in prepubertal male. Case #5: Induced cross-puberty in a transgender boy 10 years of age due to severe gender dysphoria.

Discussion : Case #1: 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: This case has an uncertain pathophysiology. Case #3: False elevation of lean mass probably by inflammatory reaction and fibrosis 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: The pacient rejected the use of testosterone to close the epiphyseal cartilage and initiated the use of high doses of estrogen and antiandrogen. Case #5: This case showed the preservation of bone age and mental health.

Conclusion :

Our cases illustrate unusual presentations and hormonal responses in transgender patients. The study of atypical clinical presentation and follow-up in transgender patients in situations of cross-hormonal therapy is a new and fascinated area in the field of endocrinology with so much to be scientifically explored.

Rate This Poster

Stuff for notes
Stuff for Message board

Share Poster


Technical Support

(877) 426-6323

[email protected]


SUBMIT FEEDBACKfeedback icon

We really appreciate your feedback on the eventScribe website. We use the data to improve the experience and simplify the process for users like you.


Log In / Sign Up

Already have an Event Scheduler or mobile app login? Login with those details. If not, create a login.

Log In   Sign Up
Access your bookmarked poster and notes by logging in ...   Sign up to take notes on poster, bookmark poster, and submit feedback.
  Lost your access key?      
You need to be logged in to bookmark posters, save notes, or rate posters.