Urticaria or nettle rash is an inflammatory clinical condition principally due to hypersensitive reaction manifest as wheals and/or angioedema at various locations of the body. Chronic spontaneous urticaria constitutes a small percentage among the class of urticaria in which recurrence persists for more than 6 months without any identifiable cause. However, mostly, it is idiopathic, and very rarely it represents some serious internal disease. Clinical history and some special biochemical markers help in making the diagnosis.A patient suffering from chronic spontaneous urticaria of 2-year duration, which showed a poor response to conventional treatment, has been presented here. After a thorough clinical evaluation, Hepar sulphuris 6c, and in successive visits, Hepar sulphuris 30c were prescribed when needed. The response and severity of the case were evaluated by using patient-reported Visual Analogue Scale and Chronic Urticaria Quality of Life Scale at the baseline and subsequent visits. The case responded very well with no further recurrence in successive 6 months after the completion of the treatment.This case report demonstrates improvement of symptoms as well as the reduction in the recurrence of such chronic and complicated cases of urticaria with homoeopathic treatment.
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