Chronic Idiopathic Urticaria
Allergy Sandhya Menon•Gender: Female•Age: 31 years (Adult)• Chronicity: 4 years
Presenting Complaints & History
- Recurrent red, raised, extremely itchy hives (wheals)
- Swelling of lips and eyelids (angioedema) during flare-ups
- Intense burning sensation in skin on scratching
- Flare-ups triggered by heat, pressure, or minor stress
Clinical Assessment
A 31-year-old bank manager from Thrissur suffering from chronic hives for 4 years. Outbreaks occurred daily, requiring high-dose antihistamines. Scratching triggered severe burning and angioedema. Depended on medication, causing daytime drowsiness and anxiety.
Diagnostic Investigations: Elevated Serum IgE (580 IU/ml); Thyroid Peroxidase (TPO) antibodies normal.
Homeopathic Therapeutics & Management
Apis Mellifica was chosen for hives with burning stinging pain and puffiness (angioedema) relieved by cold applications, while Urtica Urens helped clear skin toxins.
Selected Constitutional Remedies: Apis Mellifica and Urtica Urens
Lifestyle & Nutritional Support
Wear loose cotton clothing; avoid hot water baths; use cold compress on active hives.
Clinical Outcome
Follow-up Period: 1 year- Frequency of daily hives reduced to 2-3 times a week within 1 month
- Antihistamines completely stopped by the end of Month 3
- Angioedema swelling resolved and hives stopped entirely by Month 6
- Normal IgE levels (90 IU/ml) and stable skin at 12-month follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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