Alnouri Ghiath, Cha Nicholas, Sataloff Robert T
Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
Drexel University College of Medicine, Philadelphia, PA, USA.
Ear Nose Throat J. 2022 May;101(4):NP155-NP157. doi: 10.1177/0145561320951071. Epub 2020 Aug 26.
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.
一名45岁女性因长期喉咽反流（LPR）接受了nissen胃底折叠术，术后出现咳嗽和清嗓症状。频闪喉镜检查显示有LPR证据，反流发现评分为11分。包括胸部X光和肺科会诊在内的咳嗽检查均为阴性。咨询营养师后发现患者对组胺不耐受。无组胺饮食使患者症状和检查结果有显著改善。
