Introduction: Olfactory reference syndrome is a somatic delusional disorder characterized by erroneous believes on emitting a foul odor and therefore displeasing other people. Here we present two cases diagnosed with olfactory reference syndrome.
Case-1: Thirty-year-old single male, applied to our outpatient clinic complaining of a foul body odor. His complaints started nine months ago while attending to a seminar. He stated that a man sitting next to him asked him a question and had an unpleased expression on his face then after. The patient had a belief that he might be emitting a foul odor, which caused this response, and this belief turned stronger, which finally started to effect his daily life and occupational performance negatively. Fluoxetine 60 mg/day and aripiprazole 15 mg/day were prescribed and a follow-up visit was planned.
Case-2: Seventeen-year-old single female patient claimed to smell irritating. She admitted that she didn’t sense the smell herself but understood it from other peoples’ reactions. Her complaints are said to start at the age of 13 when she was distressed by the problems at school and she became more reserved in time. The patient was treated with a combination of sertraline and aripiprazole and responded well, with significant improvement of her delusional symptoms.
Discussion: We presented this subtype of delusional disorder to raise the awareness of clinicians as it is reported to be characterized by high morbidity and seeking of nonpsychiatric treatment.
Conclusion: As it is a rarely noticed condition and not included in the DSM-IV-TR as a separate disorder, studies presenting such cases will contribute to the familiarity of this disorder.