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Olfactory reference syndrome: a case report

Kemal Sayar, Gökhan Aksu.

The olfactory reference syndrome (ORS) is a psychiatric disorder in
which the patients feel they are emitting body odors that might
be offensive to other people. Patients with ORS are preoccupied
with their body odor. They often apologize for the nonexistent
odor and engage in activities to rid themselves of the odor.
Patients often limit their public appearences and restrict their
social and occupational encounters. In DSM-IV delusions about
personal odor are described as an example of the somatic subtype
of delusional disorder. We present a case of olfactory reference
syndrome of a 36 year old single male where the delusion of
emitting a foul body odor has caused a significant social
avoidance. The patient was in extensive help-seeking behavior in
search of a solution to his body odor. He responded favorably to
a combination of citalopram and pimozide therapy. His delusions
have resolved as well as his depressive symptoms within two
months of treatment.

Key words: olfactory reference syndrome, monosymptomatic hypochondriacal psychosis, delusional disorder, pimozide

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