Licorice-induced hypertension: a case of pseudohyperaldosteronism due to jelly bean ingestion

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 hypertensiv...

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Bibliographic Details
Published in:Postgraduate medicine 2017-04, Vol.129 (3), p.329-331
Main Authors: Foster, Christopher A, Church, Kristen S, Poddar, Megha, Van Uum, Stan H M, Spaic, Tamara
Format: Article
Language:English
Subjects:
Glycyrrhiza - adverse effects
Glycyrrhiza - metabolism
Humans
Hyperaldosteronism - chemically induced
Hypertension - chemically induced
Hypokalemia - chemically induced
Male
Middle Aged
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Summary: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.
ISSN:0032-5481
1941-9260
DOI:10.1080/00325481.2017.1291062