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Pediatric & Adult Dermatology

Not all conditions can be treated safely and effectively from commercially-available medications. Our specialty pharmacy works closely with patients and dermatologists to expertly formulate custom medications for treating a variety of skin conditions.

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Acyclovir-Resistant HSV Infection


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Angiofibromas


Vascular anomalies describe a spectrum of rare diseases including malformations and vascular tumors. Vascular anomalies are often characterized by debilitating clinical manifestations such as disfigurement, chronic pain, coagulopathies, and organ dysfunction. Superficial anomalies are commonly associated with frequent bleeding and the leakage of lymphatic fluid, providing an easy entrance for skin and soft tissue infection. Such infections may predispose to long term issues with chronic hospitalizations, wound breakdown, recurrent infections, and significant morbidity and even mortality, as soft tissue infections can rapidly progress to bacteremia and severe sepsis.

Icon of face with Tuberous Sclerous Complex

CTCL


Cutaneous T Cell Lymphoma (CTCL) is a malignancy involving the skin. CTCL is more often observed in men than in women and predominantly affects men in the 50s and 60s. Most patients experience only skin symptoms such as dry skin, severe itching, rash and swollen lymph nodes. However, in patients who progress to later stages of the disease, other organs may become affected. The most common forms of CTCL are Mycosis fungoides and and Sézary syndrome.  Skin-directed treatment strategies include the use of topical chemotherapy. We offer different formulations for CTCL that are meticulously compounded at customized stengths.

cutaneous t-cell lymphoma illustration face

Darier Disease


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Epidermal Nevus


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Epidermodysplasia Verruciformis


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Epidermodysplasia-Verruciformis

Epidermolysis Bullosa Simplex


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Hypohidrosis


Hyperhidrosis is excessive sweating. Sweating is a vital natural mechanism for the body to cool itself when too hot. However, when sweat is produced by the body without the physiological need to regulate its temperature, it is excessive.  Excessive sweating usually involves one or two sites of the body such as hands, feet or armpits, while the rest of the body remains dry.  It is often embarassing and uncomfortable for the affected individual. It may also become problematic for individuals who work in a field requiring the extensive use of their hands. We offer topical compounds that may alleviate excessive sweating, without systemic side effects.

illustration of hyperhidrosis

Ichthyosis


Ichthyoses are a heterogenous group of keratinization disorders of the skin that are mostly inherited. The inherited forms include lamellar ichthyosis, a debilitating orphan disorder that presents with severe generalized hyperkeratosis and dry, scaly, thick skin across large areas of thebody, among other possible manifestations such as hair loss, respiratory problems and abnormally formed fingernails and toenails. The signs of lamellar ichthyosis are present at birth. Mutations in various different genes can cause the disease. These genes usually make proteins that are found in the epidermis, the outermost layer of the skin. Scaling of the skin may occur only on the extremities or on larger areas of the body in more severe cases.

Different oral retinoids at customized doses are an important therapeutic option for severe scaling. Sometimes, the systemic treatment of lamellar ichthyosis with retinoids is not suitable due to the risk of adverse events such as increased serum triglycerides and liver enzymes. Mechanical scale removal is clinically not efficacious and associated with recurrence. Particularly in young children, the treatment with topical alternatives including salicylic acid, retinoids and lactic acid/ammonium lactate may be associated with toxicity due to the required long-term application to sometimes very large skin areas. We are able to compound a cost-effective, non-toxic topical preparation that likely regulates keratinocyte proliferation and has been used successfully in infants as young as several months.

Treatment for Skin Disorders and Ichythosis

Infantile Hemangioma


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Langerhans Cell Histiocytosis 


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Lupus 


Lupus is a chronic inflammatory disease of unknown cause. It is an autoimmune disorder, which means the body’s immune system attacks its own organs and tissues.  Symptoms may vary from patient to patient and can involve any organ.   A variety of medications are prescribed for Lupus. Anti-malarial drugs are among the available treatment options and often prescribed to patients with less severe disease or when they are first diagnosed. We offer customized compounding for patients with lupus.

Treatment for Lupus

Mastocytosis


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