title: Benign pancreatic hyperenzymemia (Gullo syndrome), histamine intolerance, and carbohydrate malabsorption.
abstract: Benign pancreatic hyperenzymemia (Gullo syndrome) is characterized by a more than threefold increase of the pancreatic enzymes lipase and amylase in the absence of a pancreatic disease over a period of more than 1 year, with elevations and significant undulations of pancreatic enzyme serum concentrations occurring on a day-to-day basis for 5 consecutive days. Nonspecific abdominal complaints may be caused by carbohydrate and/or protein malabsorption. We report a patient with benign pancreatic hyperenzymemia with lactose and histamine malabsorption; the symptoms of gastrointestinal malabsorption were treated successfully with an individually tailored lactose- and histamine-free diet.
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Wolfgang J
authors.initials: WJ
authors.lastname: Schnedl
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Dietmar
authors.initials: D
authors.lastname: Enko
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Harald
authors.initials: H
authors.lastname: Mangge
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Michael
authors.initials: M
authors.lastname: Schenk
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Sonja
authors.initials: S
authors.lastname: Lackner
authors.affiliation: Practice for General Internal Medicine, Bruck, Austria (Schnedl); Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria (Schnedl, Lackner, Holasek); Institute of Laboratory Medicine, General Hospital Steyr, Steyr, Austria (Enko); Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria (Mangge); and Das Kinderwunsch Institut Schenk GmbH, Dobl, Austria (Schenk).
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Holasek