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

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.

Keywords: Licorice; adrenal cortex hormones; aldosteronism; hypertension; hypokalemia.