Hartnup disease is a rare disease associated with abnormal reabsorption and excretion of tryptophan and other amino acids. Symptoms include rash, central nervous system disorders, low growth, headaches, as well as fainting and collapse. The diagnosis is based on the determination of a high urinary content of tryptophan and other amino acids. Preventive treatment includes niacin or niacinamide, and in the course of the attacks, nicotinamide is prescribed.