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组胺敏感性:一种未被普遍认识的引起喉咽反流症状和体征的原因——病例报告

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

作者信息

Alnouri Ghiath, Cha Nicholas, Sataloff Robert T

机构信息

Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.

Drexel University College of Medicine, Philadelphia, PA, USA.

出版信息

Ear Nose Throat J. 2022 May;101(4):NP155-NP157. doi: 10.1177/0145561320951071. Epub 2020 Aug 26.

Abstract

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.

摘要

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。

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