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Girl hit by 'fish odour syndrome'
BBC News On Line ^ | March 15 , 2003 | Pilar Medrano Dell

Posted on 03/15/2003 5:29:54 AM PST by aculeus

A four-year-old girl has been diagnosed as having a rare inherited condition where sufferers constantly smell of rotten fish.

The child's condition was triggered when fish was included in her diet from the age of nine months.

According to the journal Medicina Clinica, it is the first genetic case of 'Fish Odour Syndrome' to be documented in Spain.

It is estimated there have been just 200 cases seen worldwide since the condition was first observed in the 1970s.

Although doctors say it could affect five out of every 10,000 people.

The syndrome often has very negative psychological effects on sufferers: social exclusion that leads to depression, low self esteem and anxiety.

Dr Luis Sierrasesumaga, director of the Department of Paediatrics at the Clinic University of Navarra, North Spain, said: "The problem can be so serious that some patients can get to their teens without stepping out of their homes because of rejection.

"A number of victims choose jobs where they have to be on their own. Some smoke a lot to disguise the smell."

Diet changes

Trimethylaminuria is a metabolic illness where the liver cannot metabolise trimethylamine, a chemical produced by naturally occurring intestinal bacteria properly.

It can be triggered by a kidney or liver infection or the excess intake of the chemical choline, which the body turns into trimethylamine.

There is no cure, but diets avoiding foods that contain choline, like salt water fish, egg yolk, peas, liver, kidney, and legumes, can have a degree of success.

Levels of trimethylamine in urine above 15 or 20 mg indicate a patient is suffering from trimethylaminuria. Trimethylamine is excreted in the breath, sweat and the urine itself.

Dr Antonio Baldellou is an expert in metabolic diseases at the Children's Hospital Miguel Servet in Zaragoza, Spain.

He said: "The excess of trimethylamine in the urine produces the characteristic smell that the patients give off and as a consequence it affects their quality of living."

Dr Baldellou called for research funding for the condition, and said it qualified for European funding because it is such a rare disease.

Increased recognition

Fish Odour Syndrome can vary from individual to individual.

Assessment can be inaccurate and it can take a long time for patients to be diagnosed.

But because information about the condition is becoming more available to the public more people are recognising that they suffer from this syndrome.

Dr Steve Mitchell from the Imperial College London has published several studies on the subject.

He does not agree with Dr Baldellou and says that the 'Fish Odour Syndrome' should not be considered as a rare disease any more.

"New cases are continually being recognised because of a greater awareness of this metabolic condition.

"In terms of frequency of occurrence, it appears that it should no longer be regarded as a 'rare' disorder but more appropriately as an 'uncommon' one."

Story from BBC NEWS:

Published: 2003/03/15 00:54:51

© BBC MMIII


TOPICS: Culture/Society; Extended News
KEYWORDS:
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To: aculeus
Nothing worse than walking around with a flock of seagulls following your every move.
21 posted on 03/15/2003 5:52:05 AM PST by capt. norm
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To: aculeus
Imagine what it must smell like on the democRAT side of the Senate chamber. What did the blind man say when he passed the...oh forget it.
22 posted on 03/15/2003 5:54:39 AM PST by Commiewatcher
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To: aculeus


sorry charlie looks like they got a new spokesperson
23 posted on 03/15/2003 5:56:12 AM PST by TheRedSoxWinThePennant
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To: NautiNurse
LOL, somehow I knew you would appreciate my sick humor!

I told Darlie about this post and my "old joke"

She cracked up!

Of course, she is a nurse also.

You nurses are all sick (and naughty too)
24 posted on 03/15/2003 6:03:45 AM PST by Seeking the truth (I'm going on the FRN Cruise - How about you? - Details at www.Freerepublic.net)
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To: Seeking the truth
How many gynecologists are there in the US?
25 posted on 03/15/2003 6:04:35 AM PST by b4its2late (Law not enforced is not law.)
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To: struwwelpeter
Okay, I'll bite...who the heck are these folks?
26 posted on 03/15/2003 6:08:54 AM PST by Thunder 6
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To: aculeus
As the father of a four-year-old girl, my heart breaks for this poor child.
27 posted on 03/15/2003 6:23:53 AM PST by Maceman
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To: finnman69
"This explains why Bill cheats on Hillary."

Odd, I thought that was why he was attracted to her in the first place.

28 posted on 03/15/2003 6:31:46 AM PST by Enterprise
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To: aculeus
"Assessment can be inaccurate and it can take a long time for patients to be diagnosed."

That strikes me as funny. Wouldn't you be clued in when every time you were around other people they were always saying "what is that smell?" Or if your friends all called you fishbreath?

On a serious note, I am sure this would be a horrible thing to have to live with. Too bad that it doesn't selectively target perverts.

29 posted on 03/15/2003 6:36:11 AM PST by sweetliberty ("To have a right to do a thing is not at all the same as to be right in doing it.")
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To: TheRedSoxWinThePennant
sorry charlie looks like they got a new spokesperson


This funny, and in a very tasty, I mean tasteful way!
30 posted on 03/15/2003 6:52:51 AM PST by dagoofyfoot
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To: aculeus
Is her name Ariel?
31 posted on 03/15/2003 6:56:25 AM PST by Consort
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To: aculeus
Wonder if that beats "What crawled up your butt and died?" odor syndrome?
32 posted on 03/15/2003 6:58:26 AM PST by I_dmc
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To: aculeus
What's up with all these stinky
articles? :)

http://www.freerepublic.com/focus/news/865186/posts

33 posted on 03/15/2003 7:00:09 AM PST by muggs
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To: aculeus
She should consider a career at a 'Womyn's Alternative Book store'.
34 posted on 03/15/2003 7:00:46 AM PST by TC Rider (The United States Constitution © 1791. All Rights Reserved.)
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To: aculeus; All
This really isn't funny. I know of someone who has this and the poor girl has absolutely no social life. She's very nice, but the condition limits her.

It's very sad.
35 posted on 03/15/2003 7:03:36 AM PST by Desdemona
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To: aculeus
Girl hit by 'fish odour syndrome'

Aint'a gonna do it, wouldn't be prudent ...

The Moving Finger writes; and having writ
Moves on; nor all your Piety nor Wit
Shall lure it back to cancel half a Line,
Nor all your Toes wash out a Word of it.

36 posted on 03/15/2003 7:05:59 AM PST by strela ("a' poppin' off at Pop's Sodium Shop")
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To: aculeus
Another possible solution is to hang out with the Bumble Bee tuna heir.
37 posted on 03/15/2003 7:08:09 AM PST by TC Rider (The United States Constitution © 1791. All Rights Reserved.)
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To: aculeus
Some smoke a lot to disguise the smell."

Well that's smart. Smoked Salmon is still salmon.

38 posted on 03/15/2003 7:14:18 AM PST by small voice in the wilderness
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To: aculeus
inherited condition where sufferers constantly smell of rotten fish.

effects on sufferers: social exclusion that leads to depression, low self esteem and anxiety.

Isnt't this the dreaded French Syndrome?

39 posted on 03/15/2003 7:24:13 AM PST by DeFault User
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To: aculeus
How is it that you're constantly able to sniff out articles like this?
40 posted on 03/15/2003 7:42:34 AM PST by general_re (Non serviam.)
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