It is a rare disease, which affects one person in every 200,000, whose main clinical manifestation is that patients who suffer from it give off a strong smell of rotten fish , a phenomenon that is accentuated by perspiring and eating foods rich in choline. It occurs due to a congenital error of metabolism due to a failure in the oxidative system of trimethylamine in the liver, which allows this volatile enzyme, with an unpleasant odor, to pass into the blood, secretions, breath and urine. The disease is also known as trimetitaminemia or trimethitaminuria .
The only treatment for this rare syndrome, for now, is a diet control avoiding all foods that contain trimethylamine. Yogurts and juices minimize odor.
