Histaminintoleranz imitiert Anorexia nervosa

Abstract

Histamine intolerance is a clinically heterogeneous disease. We present a woman who suffered from weight loss, diarrhea, abdominal pain, headache, flushing and bronchial asthma for several years. When placed on a histamine-poor diet, she experienced weight gain and improvement of other all signs and symptoms, supporting the diagnosis of histamine intolerance. Therefore, this disease should be included in the differential diagnosis of anorexia nervosa.

Histamine intolerance as a cause of chronic digestive complaints in pediatric patients

“…Differential diagnosis includes food allergies, atopic dermatitis, celiac disease, carbohydrate intolerane (lactose, fructose…), migraine, cyclic vomiting syndrome, irritable bowel syndrome, other functional disorders, some congenital late-onset metabolic failure in association with vomiting and abdominal pain (such as maple syrup disease), and even anorexia nervosa (15).…”

Differential Diagnoses of Food-Related Gastrointestinal Symptoms in Patients with Anorexia Nervosa and Bulimia Nervosa: A Review of Literature

“…There is one case report describing a patient with histamine intolerance suffering from severe underweight, GI symptoms, and selective eating, firstly diagnosed as AN and later as a case of histamine intolerance. Complete weight rehabilitation and remission of GI symptoms after treatment of the histamine intolerance were reported (Stolze et al 2010).…”