title: Licorice-induced hypertension: a case of pseudohyperaldosteronism due to jelly bean ingestion.
abstract: Hypertension is one of the most common problems encountered in the primary care setting. Numerous secondary causes of hypertension exist and are potentially reversible. The ability to screen for such causes and manage them effectively may spare patients from prolonged medical therapy and hypertensive complications. Licorice can cause hypertension and hypokalemia due its effects on cortisol metabolism. We report a case of jelly bean ingestion that highlights the presentation, pathophysiology and management of licorice-induced hypertension.
authors.affiliation: a Department of Medicine , McMaster University, Michael G DeGroote School of Medicine , Hamilton , Canada.
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Foster
authors.affiliation: b London Family Health Team , London , Canada.
authors.forename: Kristen S
authors.initials: KS
authors.lastname: Church
authors.affiliation: c Woodstock General Hospital , Woodstock , Canada.
authors.forename: Megha
authors.initials: M
authors.lastname: Poddar
authors.affiliation: d Division of Endocrinology and Metabolism , St. Joseph's Health Care , London , Canada.|e Department of Medicine , Schulich School of Medicine & Dentistry , London , Canada.
authors.forename: Stan H M
authors.initials: SH
authors.lastname: Van Uum
authors.affiliation: d Division of Endocrinology and Metabolism , St. Joseph's Health Care , London , Canada.|e Department of Medicine , Schulich School of Medicine & Dentistry , London , Canada.
authors.forename: Tamara
authors.initials: T
authors.lastname: Spaic
mesh_terms: D006035:Glycyrrhiza / Q000009:adverse effects* / Q000378:metabolism; D006801:Humans; D006929:Hyperaldosteronism / Q000139:chemically induced*; D006973:Hypertension / Q000139:chemically induced*; D007008:Hypokalemia / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged
keywords: Licorice; adrenal cortex hormones; aldosteronism; hypertension; hypokalemia