Bromhidrosis

Synonym(s)

Apocrine bromhidrosis; osmidrosis; bromidrosis

Definition

Condition of abnormal or offensive body odor

Pathogenesis

Odor as a consequence of apocrine gland secretion; bacterial decomposition of apo-crine secretion yields short-chain fatty acids with characteristic odors; other odor-inducing situations include metabolic disorders, ingestion of foods or drugs, or toxic materials, or contact with certain xenobiot-ics

Clinical manifestation

Appearance normal except when associated with other unrelated conditions, such as erythrasma or intertrigo

Differential diagnosis

Fish odor syndrome (trimethylaminuria); organic brain lesions (tumors, etc.); body dysmorphic disorder

Brown recluse spider bite

Therapy

Hygienic measures: adequate washing of the axillary vault; drying powders; frequent clothing changes

Diet: omission of certain foods (e.g. certain spices, garlic, alcohol) in instances when contributory

Surgical: superficial liposuction to remove apocrine glands

References

Lockman DS (1981) Olfactory diagnosis. Cutis 27(6):645-647

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