title: [Liquorice-induced hypertension and hypokalaemia].
abstract: Consumption of large amounts of liquorice can cause hypertension and hypokalaemia. Liquorice contains glycyrrhetinic acid, which inhibits the enzyme 11 beta-hydroxysteroid dehydrogenase type 2, and ultimately leads to an apparent mineralocorticoid excess syndrome. This case report describes a 50 year-old woman presenting with hypertension and hypokalaemia-induced limb paresis due to chronic liquorice ingestion. The patient was treated with potassium supplementation and spironolactone. Her blood pressure and electrolyte status normalised within a month after cessation of liquorice intake.
authors.affiliation: Kardiologisk Afdeling Y, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 København NV, Denmark. mettelundgren@gmail.com
authors.forename: Mette Lundgren
authors.initials: ML
authors.lastname: Nielsen
authors.forename: Manan
authors.initials: M
authors.lastname: Pareek
authors.forename: Inger
authors.initials: I
authors.lastname: Andersen
mesh_terms: D002182:Candy / Q000009:adverse effects*; D005260:Female; D006034:Glycyrrhetinic Acid / Q000097:blood; D006035:Glycyrrhiza / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000139:chemically induced* / Q000175:diagnosis; D007008:Hypokalemia / Q000139:chemically induced* / Q000175:diagnosis; D008875:Middle Aged
chemical_list: D006034:Glycyrrhetinic Acid