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Gen Hosp Psychiatry. 2014 Nov-Dec;36(6):760.e1-3. doi: 10.1016/j.genhosppsych.2014.06.001. Epub 2014 Jun 14.

Olfactory reference syndrome: a still open nosological and treatment debate.

Author information

1
Botucatu Medical School, São Paulo State University-Univ Estadual Paulista (Unesp), Brazil.
2
Anxiety and Depression Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro & D'Or Institute for Research and Education, Brazil.
3
Botucatu Medical School, São Paulo State University-Univ Estadual Paulista (Unesp), Brazil. Electronic address: torresar@fmb.unesp.br.

Abstract

OBJECTIVE:

The objective was to report a case of olfactory reference syndrome (ORS) with several co-occurring disorders and to discuss ORS differential diagnoses, diagnostic criteria and classification.

METHOD:

Case report.

RESULTS:

A 37-year-old married woman presented overvalued ideas of having bad breath since adolescence. She met current diagnostic criteria for social anxiety disorder, specific phobia, obsessive-compulsive disorder, generalized anxiety disorder, body dysmorphic disorder and major depressive disorder. ORS similarities and differences with some related disorders are discussed.

CONCLUSION:

Further studies regarding symptoms, biomarkers and outcomes are needed to fully disentangle ORS from existing depressive, anxiety and obsessive-compulsive spectrum disorders.

KEYWORDS:

Diagnostic criteria; Differential diagnoses; Nosological classification; Obsessive–compulsive disorder; Olfactory reference syndrome

[Indexed for MEDLINE]

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