Liquorice-induced apparent mineralocorticoid excess presenting in the emergency department

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APPARENT MINERALOCORTICOID EXCESS IN THREE SIBLINGS

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apparent mineralocorticoid excess in three siblings

three siblings (1 boy, 2 girls) with hypertension and hypokalemia are presented, two with low plasma aldosterone and suppressed renin activity and the eldest with a high renin and aldosterone level due to secondary changes in her kidneys. urinary tetrahydrocortisol (thf) was increased relative to tetrahydrocortisone (the). cortisol ring a reduction constant was also lower than normal. these fin...

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Apparent mineralocorticoid excess (AME) syndrome.

Apparent mineralocorticoid excess (AME) syndrome is a rare autosomal recessive disorder due to the deficiency of 11b hydroxysteroid dehydrogenase type 2 enzyme (11beta-HSD2). Mutations in this gene affect the enzymatic activity resulting to an excess of cortisol, which causes its inappropriate access to mineralocorticoid receptor leading to inherited hypertension.This is a potentially fatal but...

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The syndrome of apparent mineralocorticoid excess.

The elucidation of the basis of a rare inherited dis-development of hypertension, the biochemical abnormalities and the disturbances in cortisol meta-order is satisfying in itself, but particularly so if it leads to a greater understanding of normal physiology bolism.7 How then could cortisol, conventionally regarded as a glucocorticoid, act as a potent mineral-and other disease processes. Such...

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ژورنال

عنوان ژورنال: Clinical Medicine

سال: 2017

ISSN: 1470-2118,1473-4893

DOI: 10.7861/clinmedicine.17-1-43