van Bakel T M J, van der Klooster J M, Borst F, Urlings-Strop L C
Reinier de Graaf Gasthuis, afd. Heelkunde, Delft.
Contact: T.M.J. van Bakel (
Ned Tijdschr Geneeskd. 2020 Nov 12;164:D5418.
Liquorice consumption can cause pseudohyperaldosteronism and potentially lead to life-threatening complications. Besides correcting hypokalemia and hypertension, finding the triggering factor for pseudohyperaldosteronism is essential to prevent recurrence.
A 68-year-old Syrian man presented in the Emergency Department with complaints of fatigue, weakness and exercise-related shortness of breath. Blood tests revealed severe hypokalemia for which suppletion and cardiac rhythm surveillance was necessary. Talking to the patient's son, it occurred that our patient drank copious amounts of Erk Sous, a thirst-quenching drink made from liquorice. The diagnosis pseudohyperaldosteronismwas confirmed by a high level of glycyrrhetinic acid in the patient's urine. After correction of the hypokalemia, our patient recovered successfully.
Erk Sous is a thirst-quenching drink that can cause pseudohyperaldosteronism. The drink is popular in the Middle East during summer and Ramadan. If a patient from the Middle East presents with hypokalemia and/or hypertension, ask for consumption of Erk Sous.
食用甘草可导致假性醛固酮增多症，并可能引发危及生命的并发症。除了纠正低钾血症和高血压外，找出假性醛固酮增多症的触发因素对于预防复发至关重要。
一名68岁的叙利亚男子因疲劳、虚弱和运动相关的呼吸急促到急诊科就诊。血液检查显示严重低钾血症，需要进行补充治疗并监测心律。与患者的儿子交谈时发现，我们的患者饮用了大量的埃尔克苏斯（Erk Sous），这是一种用甘草制成的解渴饮料。患者尿液中甘草次酸水平升高，证实了假性醛固酮增多症的诊断。低钾血症纠正后，我们的患者成功康复。
埃尔克苏斯是一种可导致假性醛固酮增多症的解渴饮料。这种饮料在中东地区夏季和斋月期间很受欢迎。如果中东地区的患者出现低钾血症和/或高血压，询问其是否饮用过埃尔克苏斯。
