A Bad Case of Bromhidrosis in a Teenage Girl

March 2, 2016

The young woman's foot odor is accompanied by physical findings on the plantar surfaces. What's your Dx? Rx?

A 17-year-old girl sees you after her mother threatens to fumigate the young woman's bedroom. The problem is foot odor that you can barely tolerate when you enter the exam room. There are physical clues to the underlying problem as well as the pungent air. Follow the case in the slides above.What's in your differential? Your diagnosis?