Trimethylaminuria or fish malodor syndrome – case report and relevance to practice

Authors

  • Riquen Mulji Médico Interno do 1.o ano de Medicina Geral e Familiar, USF das Conchas
  • Nuno Florêncio Médico Interno do 4.o ano de Medicina Geral e Familiar, USF das Conchas
  • Pedro Alves Médico Assistente de Medicina Geral e Familiar, USF das Conchas

DOI:

https://doi.org/10.32385/rpmgf.v30i2.11285

Keywords:

Trimethylaminuria, Fish Malodour Syndrome

Abstract

TRIMETHYLAMINURIA OR FISH MALODOR SYNDROME – CASE REPORT AND RELEVANCE TO PRACTICE “Fish malodour syndrome” or trimethylaminuria is an infrequent and probably under-diagnosed metabolic disorder characterized by a decaying fish odour in body secretions with potentially severe psychosocial complications. This article presents a patient with trimethylaminuria, with the typical body odour, selective anosmia, and seafood allergy. Her parents intuitively applied adequate treatment that probably prevented adverse consequences. The diagnosis is based on clinical symptoms and is confirmed either by genetic testing or urinary levels of trimethylamine oxide and trimethylamine. Treatment aims to reduce body odour and prevent complications, which determine prognosis. This article aims to increase awareness of the condition and present information relevant to the family physician.

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Published

2014-04-01

How to Cite

Trimethylaminuria or fish malodor syndrome – case report and relevance to practice. (2014). Portuguese Journal of Family Medicine and General Practice, 30(2), 117-21. https://doi.org/10.32385/rpmgf.v30i2.11285

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