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Turkish pepper (extra hot).

A Woywodt1, A Herrmann, M Choi

  • 1Department of Nephrology, Franz-Volhard-Clinic, Charité Campus Berlin-Buch, Humboldt-University, Berlin, Germany.

Postgraduate Medical Journal
|July 6, 2000
PubMed
Summary
This summary is machine-generated.

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Excessive liquorice consumption can cause severe hypertension by mimicking aldosterone. Removing liquorice from the diet resolved the patient's high blood pressure, demonstrating its direct impact.

Area of Science:

  • Endocrinology
  • Nephrology
  • Cardiology

Background:

  • Hypertension is a significant global health concern.
  • Secondary hypertension requires thorough investigation to identify underlying causes.
  • Aldosterone plays a key role in regulating blood pressure and electrolyte balance.

Observation:

  • A 38-year-old female presented with severe hypertension (250/110 mm Hg).
  • Initial evaluation excluded secondary causes of hypertension.
  • Laboratory findings revealed low plasma renin activity and reduced sodium excretion, suggesting an aldosterone-like effect.

Findings:

  • The patient's hypertension resolved after discontinuing consumption of liquorice candies.
  • This indicates that liquorice, specifically its glycyrrhizic acid component, can induce a state mimicking hyperaldosteronism.

Related Experiment Videos

  • The mechanism involves inhibition of the enzyme 11-beta-hydroxysteroid dehydrogenase type 2, which normally inactivates cortisol, leading to its mineralocorticoid effects.
  • Implications:

    • Dietary factors, even seemingly benign ones like candy, can significantly impact blood pressure.
    • Awareness of liquorice-induced hypertension is crucial for clinicians managing difficult-to-treat hypertension.
    • Patients with unexplained hypertension should be screened for excessive consumption of liquorice-containing products.