The Fish Odor Syndrome

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Abstract
TOO OFTEN the patient with generalized body odor of inapparent origin presents only a history of the problem to a skeptical physician. Like hives, the odor may be episodic and not present at the time of an office visit. The odor also may be apparent only to an hyperosmic patient, such as one with cystic fibrosis.1The physician himself may be hyposmic, or the odor lost in the efficient ventilation of the office setting, as happened with an occupationally induced tellurium odor.2Unable to confirm the complaint, the physician may begin to entertain a diagnosis of schizophrenia or consider a computed tomographic scan of the brain to search for a tumor. Finally, both the physician and the patient may be disbelieving when the odor is noticed only by others, as has occurred with the use of topical benzoyl peroxide.3 However, some body odors overwhelm and call for

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