INDIVIDUALIZED HOMOEOPATHIC MANAGEMENT OF CHRONIC URTICARIA: A CASE REPORT WITH REPERTORIAL ANALYSIS AND SERIAL UAS-7 ASSESSMENT
DOI:
https://doi.org/10.5281/zenodo.23022937Keywords:
Chronic Urticaria, Homoeopathy, Individualized Homoeopathic Prescribing, Apis mellifica, Antipyrinum; UAS-7, Repertorial analysis, Case reportAbstract
Background
Chronic urticaria is a condition characterized by recurrent wheals, with or without angioedema, persisting for more than six weeks. Individualized homoeopathic prescribing involves assessment of characteristic symptoms, modalities, concomitant symptoms, and repertorial analysis. The present report describes the clinical course of chronic urticaria managed with homoeopathic medicines and assessed using the Urticaria Activity Score over 7 days (UAS-7).
Case Presentation
A 27-year-old male presented with a 1.5-year history of recurrent urticarial eruptions associated with erythema, oedematous swelling, burning, stinging, and itching. The symptoms were aggravated by heat, warmth, and physical activity and ameliorated by cold applications and cold air. Thirstlessness, bilateral lower-eyelid oedematous swelling, and a sensation of internal constriction during exacerbations were also reported. The baseline UAS-7 score was 35. Antipyrinum was initially prescribed as an exploratory intervention. During subsequent follow-ups, the UAS-7 score decreased to 28 but remained unchanged despite repeated prescriptions and increasing potencies of Antipyrinum. Repertorial analysis using Synthesis Repertory identified Apis mellifica as the leading remedy with a repertorial result of 9/5. Following individualized prescribing with Apis mellifica 30 CH, the UAS-7 score decreased to 7 and subsequently reached 0 at the final follow-up. The case was followed through serial clinical assessments and UAS-7 scoring.
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References
Saini SS, Kaplan AP. Chronic spontaneous urticaria: The devil’s itch. J Allergy Clin Immunol Pract 2018;6:1097 106.
Fine LM, Bernstein JA. Guideline of chronic urticaria beyond. Allergy Asthma Immunol Res 2016;8:396 403.
Lee EE, Maibach HI. Treatment of urticaria. Am J Clin Dermatol 2001;2:27 32.
Antia C, Baquerizo K, Korman A, Bernstein JA, Alikhan A. Urticaria: A comprehensive review: Epidemiology, diagnosis, and work up. J Am Acad Dermatol 2018;79:599 614.
Harding M. Hives (Urticaria). Patient. Available from: https://patient.info/ skin conditions/hives inducible urticaria. [Last accessed on 2019 Apr 20].
Katelaris C. Treatment of urticaria. Aust Prescr 2001;24:124 6.
Fraser K, Robertson L. Chronic urticaria and autoimmunity. Skin Therapy Lett 2013;18:5 9.
Cicardi M, Aberer W, Banerji A, Bas M, Bernstein JA, Bork K, et al. Classification, diagnosis, and approach to treatment for angioedema: Consensus report from the hereditary angioedema international working group. Allergy 2014;69:602 16.
Yadav S, Bajaj AK. Management of difficult urticaria. Indian J Dermatol 2009;54:275 9.
Godse KV. Urticaria meter. Indian J Dermatol 2012;57:410 1.
Murphy R. Lotus Materia Medica. 3rd ed. New Delhi: B. Jain Publishers Pvt. Ltd.; 2003.
Allen HC. Keynotes Rearranged and Classified with Leading Remedies of the Materia Medica and Bowel Nosodes. 10th ed. New Delhi: B. Jain Publishers Pvt. Ltd.; 1999. p. 33, 262, 263.
BoerickeW. New Manual of Homoeopathic Materia Medica with Repertory. Third Revised and Augmented Edition. New Delhi: B. Jain Publishers Pvt. Ltd.; 2007. p. 536 8.
