Diagnosis of bromhidrosis

Patients determined to have apocrine or localized eccrine bromhidrosis should be assessed for contributory factors, such as hyperhidrosis, associated cutaneous disorders, or inadequate hygiene. For patients with generalized bromhidrosis, further evaluation is guided by a history and physical examination, including an assessment of the type of odor. The history should include diet, medications and supplements, metabolic diseases, and systemic diseases. When the history and physical examination do not suggest a cause, we evaluate liver and kidney function with laboratory studies.