Tuberous Sclerosis Complex

Pediatric Derm

Tuberous Sclerosis Complex (TSC) is a genetic disorder that is caused by mutations in the TSC1 or TSC2 tumor suppressor genes. Many patients with TSC develop characteristic skin lesions, such as facial angiofibromas. Facial angiofibromas are overgrowths of normal skin. They may initially appear as red spots or as diffuse redness which is due to the increased growth of blood vessels. They often become elevated bumps, may spontaneously bleed, and tend to be progressive and multiply in numbers if not treated.

Compounding option:

Topical sirolimus cream.
We compound topical sirolimus (rapamycin) cream at any desired concentration. Importantly, we use sirolimus bulk powder to make our cream. We do not crush tablets. Therefore, our cream does not contain any unwanted substances that may irritate the skin and give the cream a gritty texture.

We offer physicians support in preparing the documents for prior authorization, if required by the insurance.

Port Wine Stains

Pediatric DermPort Wine Stains are capillary malformations that appear on the skin. They are types of birthmarks that may be located anywhere on the body and present as pink to red patches. Port Wine Stains do not regress and often grow in proportion to the child's growth and become thicker and darker.

Compounding option:

Topical sirolimus cream (in combination with laser therapy).
We compound topical sirolimus (rapamycin) cream that can be used in combination with laser therapy. Importantly, we use sirolimus bulk powder to make our cream. We do not crush tablets. Therefore, our cream does not contain any unwanted substances that may irritate the skin and give the cream a gritty texture.

We offer physicians support in preparing the documents for prior authorization, if required by the insurance.

Lamellar Ichthyosis

Pediatric DermLamellar ichthyosis is an inherited keratinization disorder of the skin that is typically associated with epidermal hyperkeratosis and dry, scaly skin of varying severity. The signs of lamellar ichthyosis are present at birth. The disease is caused by mutations in various different genes, including TGM1, a gene that is responsible for the production of an enzyme that crosslinks cornified cell envelope proteins in the skin. Scaling of the skin may occur only on the extremities or on larger areas of the body in more severe cases.

Compounding option:

Topical acetylcysteine/urea cream.
We compound topical acetylcysteine/urea cream at varying concentrations. We can add fragrances to mask the sometimes slightly unpleasant scent of this cream. Importantly, we use bulk powders to make our cream. We do not crush tablets. Therefore, our cream does not contain any unwanted substances that may irritate the skin and give the cream a gritty texture. We offer physicians support in preparing the documents for prior authorization, if required by the insurance.

Plantar and Periungual Warts, Refractory Warts

Warts are benign skin lesions caused by human papilloma virus (HPV). Warts are very common in children but can also occur in adults. Sometimes, warts are difficult to treat and do not respond to traditional therapeutic options. They often represent a therapeutic challenge in immunocompromised patients. Warts can have a high recurrence rate.

Compounding option:

Topical cidofovir cream.
We compound topical cidofovir cream at varying concentrations. Importantly, we use bulk powders to make our cream. We do not use commercially available products to make the cream. Therefore, our cream does not contain any unwanted substances that may irritate the skin and give the cream a gritty texture.

We offer physicians support in preparing the documents for prior authorization, if required by the insurance.