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甘草引起的高血压:一例因食用软糖豆导致的假性醛固酮增多症病例。

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

作者信息

Foster Christopher A, Church Kristen S, Poddar Megha, Van Uum Stan H M, Spaic Tamara

机构信息

a Department of Medicine , McMaster University, Michael G DeGroote School of Medicine , Hamilton , Canada.

b London Family Health Team , London , Canada.

出版信息

Postgrad Med. 2017 Apr;129(3):329-331. doi: 10.1080/00325481.2017.1291062. Epub 2017 Feb 15.

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.

摘要

高血压是基层医疗环境中最常见的问题之一。高血压存在多种继发性病因,且这些病因有可能逆转。筛查此类病因并有效进行管理的能力,可能使患者避免长期药物治疗及高血压并发症。甘草因对皮质醇代谢的影响可导致高血压和低钾血症。我们报告一例食用软糖豆的病例,该病例突出了甘草诱导的高血压的临床表现、病理生理学及管理。

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