Clinical Cases

A Case of Urticaria

Surabhi Chitre
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Dr. Surabhi K. Chitre presents a case of urticaria in a boy of ten.

Age: 10 years / Male

Chief Complaint

  • Itching of the whole body
  • <Exposure to dust
  • Swelling of the lips
  • Small eruptions on the body
  • Eruptions with redness
  • No burning, no scaling
  • Catch cold and cough frequently
  • <Change of weather
  • <Exposure to cold climate, taking cold food and drinks
  • <Exposure to dust

Past History

  • Typhoid

Family History

  • Mother: Urticaria
  • Grandfather: HTN, Cancer
  • Grandmother: R.A., Heart Complaints

Physical Generals

  • Desires: Cottage cheese, Potatoes, Chocolates, Sweets, ice-cream, Fruits, Cold drinks and Cold food
  • Perspiration: Face
  • Stool: Nothing specific
  • Urine: Nothing specific
  • Sleep: -Sleeps on abdomen and occasionally on sides –

Sleep refreshing

  • Dreams:
  • Mind: Average in studies

-Restless

-Loquacious

-Naughty

-Hyperactive child

-Loves science

-Fear of dogs

-Fear of dark

-Loves sports

Diagnosis:

  • Urticaria
  • TCC
  • Allergic constitution

Current Medication: Cetirizine, 1 tablet once a day

Repertorial totality Chronic:

Repertorial Totality Acute:

Prescription: 04-08-2016

Based on the totality the patient was prescribed Medorrhinum 30C

  • Medorrhinum 30C

4 drops B.D. for 30 days

  • Antimony Crudum 30C (SOS): For acute episode of urticaria

4 drops B.D. or T.D.S

1st Follow up: 03-09-2016

  • Patient is better
  • Did not observe much change in urticaria
  • Swelling of lips
  • Still takes 1 cetirizine once a day
  • Itching is better

Prescription:

  • Medorrhinum30C

4 drops T.D.S. for 7 days

2nd Follow up: 10-09-2016

  • Urticaria reduced in intensity
  • Frequency of urticaria reduced
  • Swelling of lips is the same
  • Itching better than before
  • No burning

Prescription:

  • Medorrhinum 30C

4 drops T.D.S for 7 days

3rd Follow up: 17-09-2016

  • Itching still present
  • Urticaria intensity reduced
  • Urticaria frequency reduced, earlier it was every day but now comes after every 2 or 3 days
  • Now taking cetirizine every alternate day

Prescription:

  • Medorrhinum 30C

4 drops T.D.S. for 7 days

4th Follow up: 24-09-2016

  • Urticaria frequency much more reduced
  • Urticaria intensity reduced
  • Itching is the same
  • Patient was advised to take half cetirizine every alternate day

Prescription:

  • Medorrhinum 200C
  • drops B.D. for 21 days

5th Follow up: 22-10-2016

  • Patient much more better
  • Itching is better
  • Patient was advised to stop cetirizine

Prescription:

  • Medorrhinum 200C
  • drops T.D.S. for 15 days

6th Follow up: 19-11-2016

  • Patient did not take medicine for 2 weeks
  • Got acute urticaria: was given 5 doses of Antim Crude 30C
  • Tonsillitis 7 days back
  • Frequency of urticaria reduced
  • Intensity of urticaria reduced

Prescription:

  • Medorrhinum 200C
  • drops T.D.S. for 7 days

7th Follow up: 26-11-2016

  • Urticarial around the ankles
  • Patient went to play some sports and was exposed to dust

Prescription:

  • Antim Crudum 30C

4 drops T.D.S for 2 days

  • Medorrhinum 200C
  • drops T.D.S. for 15 days

8th Follow up: 07-01-2017

  • Patient did not take medicine for 2 weeks
  • The frequency and intensity of urticaria is reduced
  • There is no itching
  • Episodes of urticaria were only seen 2 times (A few doses of Antim Crudum 30C were given)
  • Patient has stopped taking cetirizine

Prescription:

  • Medorrhinum 200C
  • drops T.D.S. for 15 days

About the author

Surabhi Chitre

Surabhi Chitre

Dr. Surabhi Chitre B.H.M.S graduated from Dhondumama Sathe Homoeopathic Medical College and completed a one year internship from Chandaben Homoeopathic Medical college. She has been working with Dr. Farokh Master for the last two years in his private clinic and in his Sion Charitable clinic, two days a week. for the last 1.5 years

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