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Schnedl, WJ; Schenk, M; Lackner, S; Holasek, SJ; Mangge, H.
β-thalassemia minor, carbohydrate malabsorption and histamine intolerance.
J Community Hosp Intern Med Perspect. 2017; 7(4):227-229
Doi: 10.1080/20009666.2017.1369378
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- Führende Autor*innen der Med Uni Graz
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Schnedl Wolfgang
- Co-Autor*innen der Med Uni Graz
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Lackner Sonja
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Mangge Harald
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Schenk Michael
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- Abstract:
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Background: β-thalassemia minor is characterized by reduced β-haemoglobin chain synthesis and sometimes mild anaemia, although carriers of β-thalassemia minorare usually clinically asymptomatic.Nonspecific abdominal complaints may be caused by gastrointestinal carbohydrate malabsorption (lactose and fructose) and/or malabsorption of biogenic amines (histamine), or proteins (gluten). Objectives: We report on two patients with β-thalassemia minor suffering nonspecific abdominal symptoms due to a carbohydrate and histamine malabsorption. Design/methods: The diagnosis of β-thalassemia minorwas done with peripheral blood smear and cellulose acetate electrophoresis. Carbohydrate malabsorption was diagnosed with hydrogen breath tests and, histamine intolerance (HIT) with a serum diamine oxidase value <10 U/ml and more than two gastrointestinal symptoms described for HIT. Conclusion: The symptoms of gastrointestinal malabsorption in these two patients with β-thalassemia minor were treated successfully with an individually-tailored diet free of symptom causing carbohydrates and histamine.
- Find related publications in this database (Keywords)
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beta-thalassemia minor
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lactose intolerance
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fructose malabsorption
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histamine intolerance
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nonspecific abdominal complaints
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diet