diff --git a/compiler/rustc_interface/src/passes.rs b/compiler/rustc_interface/src/passes.rs
index bbb47a6e8071e..9dbd59506b188 100644
--- a/compiler/rustc_interface/src/passes.rs
+++ b/compiler/rustc_interface/src/passes.rs
@@ -63,6 +63,13 @@ impl mut_visit::MutVisitor for TokenStripper {
         i.tokens = None;
         mut_visit::noop_flat_map_item(i, self)
     }
+    fn flat_map_foreign_item(
+        &mut self,
+        mut i: P<ast::ForeignItem>,
+    ) -> SmallVec<[P<ast::ForeignItem>; 1]> {
+        i.tokens = None;
+        mut_visit::noop_flat_map_foreign_item(i, self)
+    }
     fn visit_block(&mut self, b: &mut P<ast::Block>) {
         b.tokens = None;
         mut_visit::noop_visit_block(b, self);
diff --git a/src/test/ui/ast-json/issue-78398-foreign-ice.rs b/src/test/ui/ast-json/issue-78398-foreign-ice.rs
new file mode 100644
index 0000000000000..a1a20f9568178
--- /dev/null
+++ b/src/test/ui/ast-json/issue-78398-foreign-ice.rs
@@ -0,0 +1,18 @@
+// Regression test for issue #78398
+// Tests that we don't ICE when trying to print the AST json
+// when we have capturd tokens for a foreign item
+
+// check-pass
+// compile-flags: -Zast-json
+
+fn main() {}
+
+macro_rules! mac_extern {
+    ($i:item) => {
+        extern "C" { $i }
+    }
+}
+
+mac_extern! {
+    fn foo();
+}
diff --git a/src/test/ui/ast-json/issue-78398-foreign-ice.stdout b/src/test/ui/ast-json/issue-78398-foreign-ice.stdout
new file mode 100644
index 0000000000000..f1d0e44e9fc8c
--- /dev/null
+++ b/src/test/ui/ast-json/issue-78398-foreign-ice.stdout
@@ -0,0 +1 @@
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