Liquorice induced hypermineralocorticoidism - a case report from Midyorkshire Hospitals NHS trust

Sheffield Teaching Hospitals Nhs Foundation Trust

1. A recurrently balanced financial plan for 2012/13 which maintains the £6.7m planned surplus from previous years. 2. The major risk relates to delivery of the necessary efficiency savings to meet the National Efficiency Target and to address underlying Directorate deficits brought-forward from 2011/12. 3. 2012/13 Patient Services contracts are broadly agreed, although there remain some risks ...

Sheffield Teaching Hospitals Nhs Foundation Trust

1. Considerable focus has been applied over the last 9 months or so to further develop the Trust’s architecture and infrastructure for the Efficiency Programme. 2. The 2012/13 Efficiency Plan shows the potential to deliver significant savings but there are significant risks to delivery. 3. The key risks are operational, particularly reducing length of stay and avoiding delayed discharges and me...

Case report Sweet root, bitter pill: liquorice-induced hyperaldosteronism

In December 2002, a 49-year-old man was admitted to our hospital, with headache. He had no significant past medical history other than hypertension, diagnosed at a supermarket, while on holiday in the USA in August 2002. On admission, he was hypertensive, blood pressure (BP) 200/114mmHg with slight ankle oedema and normal systemic examination. Blood tests showedhypokalaemia [2.2mmol/l; normal r...

Liquorice Health Check, Oro-Dental Implications, and a Case Report

Liquorice has an active substance, Glycyrrhizin which inhibits the conversion of precursor cortisol to cortisone by inhibiting the enzyme 11-betahydroxysteroid dehydrogenase. When imbibed, liquorice acts like hyperaldosteronism which presents with typical symptoms including high blood pressure, low blood potassium, and muscle pain and weakness. This article appraises physiological and pharmacol...

Anticipated merger of Ashford and St Peter’s Hospitals NHS Foundation Trust and Royal Surrey County Hospital NHS Foundation Trust