Histamine Sensitivity: An Uncommon Recognized Cause of Living Laryngopharyngeal Reflux Symptoms and Signs-A Case Report.

Ghiath AlnouriNicholas ChaRobert T Sataloff

Published in: Ear, nose, & throat journal (2020)

A 45-year-old female who had undergone Nissen fundoplication for long-standing laryngopharyngeal reflux (LPR) developed episodes of coughing and throat clearing. Strobovideolaryngoscopy demonstrated evidence of LPR with a reflux finding score of 11. A cough workup including a chest X-ray and pulmonology consultation was negative. Consultation with a nutritionist revealed Histamine intolerance. Histamine-free diet resulted in marked improvement in patient's symptoms and examination.

Keyphrases

palliative care
gastroesophageal reflux disease
sleep quality
case report
high resolution
weight loss
depressive symptoms
mass spectrometry
dual energy