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  1. Numaera Sabir1,
  2. Elizabeth A Jones2,
  3. Beena Padmakumar3
  1. 1Department of Paediatrics, Pennine Acute Trusts, Oldham, UK
  2. 2Manchester Centre for Genomic Medicine, Central Manchester Foundation Trusts, Manchester, UK
  3. 3Department of Paediatrics, Royal Oldham Hospital, Manchester, UK
  1. Correspondence to Dr Numaera Sabir, numaera.sabir{at}


We report the case of a 9-year-old boy referred to secondary care with an unusual presentation of a fishy odour to his hands, feet, saliva and urine. Laboratory investigations including urine analysis and genetic testing confirmed the diagnosis of trimethylaminuria. The patient was referred to a geneticist and dietician, and consequently treated with dietary modification. He now has an arguably much improved quality of life.

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