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Fish Malodour syndrome in a child.

Abstract
Body odour can be a manifestation of several metabolic diseases. Diagnosis may be difficult because the disease is often unknown to the doctor. We present a child observed in a general paediatric clinic for bad body odour after eating fish. Given the suspicion of trimethylaminuria, molecular study of flavin mono-oxygenase 3 gene was requested. A pathogenic mutation and polymorphism were identified, which could explain the complaint. Dietary and hygienic measures were imposed with symptom improvement.
AuthorsAlexandra Oliveira, Ana Faria, Mónica Oliva
JournalBMJ case reports (BMJ Case Rep) Vol. 2015 (Apr 13 2015) ISSN: 1757-790X [Electronic] England
PMID25870212 (Publication Type: Case Reports, Journal Article)
Copyright2015 BMJ Publishing Group Ltd.
Chemical References
  • Methylamines
  • Oxygenases
  • dimethylaniline monooxygenase (N-oxide forming)
  • trimethyloxamine
  • trimethylamine
Topics
  • Child, Preschool
  • Diagnosis, Differential
  • Diet Therapy (methods)
  • Female
  • Humans
  • Hygiene
  • Metabolism, Inborn Errors (diagnosis, genetics, therapy)
  • Methylamines (metabolism, urine)
  • Mutation
  • Oxygenases (genetics, metabolism)
  • Polymorphism, Genetic

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