Unremitting halitosis: A case of Olfactory Reference Syndrome

Özet

Subjektif halitosis kronik ve kolayca tany konamayan veyanesnel metotlar ile ölçülemeyen bir bozukluktur.Subjektif halitosis olan hastalar syklykla di? hekimleirneba?vururlar, hatta psikiyatriste ba?vurmayy reddederler.Olfaktör referans sendrom (ORS) bunun sebeplerindenbirisidir ve anksiyete, obsesyon veya paranoid ?ekillerdeolabilir. ORS hastalary ba?kalarynyn davrany?laryna atyftabulunurlar; insanlaryn a?yzlaryny kapatmalary, öksürmeveya burunlaryna dokunmalary, pencereyi açmalary,kafalaryny ba?ka yöne çevirmeleri hastalaryn koku yaydy?yny dü?ündürten i?aretler olarak yanly? yorumlanabilir.Bu olgu sunumunda, 23-ya?ynda kadyn hastanyn 3 yyldyrhalitosis nedeniyle sykynty çekti?i ve ORS tanysy konularakKlomipramin ile tedavi edildi?i bildirilmektedir.

Abstract

Subjective halitosis is a chronic disorder and cannot easily be identified or measured by objective methods. Thepatients complaining with subjective halitosis usuallyrefer to dentists, yet they reject to psychiatric consultations. One of its cause is Olfactory Reference Syndrome(ORS) which can be of anxiety, obsessional or delusional.ORS patients usually refer to others' behaviors; people'sclosing their mouth, coughing and touching their nose,opening window, turning faces to another side to protect themselves all give signs as to emitting malodorwhich patients misinterpret. This paper reports a 23-oldfemale who suffers from halitosis since 3 years which isdiagnosed as ORS and treaed with Clomipramine.