We encountered a patient with chronic myelogenous leukemia in basophil
ic crisis accompanied with histamine excess symptoms including bronchi
al asthma and gastric ulcer. The concentrations of histamine and histi
dine decarboxylase in leukemic cells containing granules typical for b
asophils were similar to those in mature basophils. His histamine exce
ss symptoms rapidly disappeared concomitant with the reduction of blas
t cells after chemotherapy. We speculate that his histamine excess sym
ptoms were induced by the leukemic cells.