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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-12-17
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pubmed:abstractText |
We report a case of chronic intoxication with glycyrrhizinic acid, at a dosage of 1000 to 1500 mg per month over a period of 11 months, in a former alcoholic. This intoxication was revealed by profound hypokalaemia and rhabdomyolysis. However, blood pressure remained constantly normal. Analysis of the literature shows that liquorice intoxication, which blocks renal 11 beta-hydroxysteroid dehydrogenase evolves more frequently as isolated hypokalaemia than as a picture of pseudo-primary hyperaldosteronism accompanied with hypertension. Hypokalaemia with urinary potassium wasting and without hypertension should therefore lead to considering liquorice intoxication, which can be confirmed by disclosing shut-off of the renin-angiotensin-aldosterone axis, and by the increase of the urinary ratio of [cortisol metabolites (5 alpha tetrahydrocortisol + 5 beta tetrahydrocortisol)]/[cortisone metabolite (5 beta tetrahydrocortisol)] together with increase of urinary free cortisol excretion.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/11-beta-Hydroxysteroid...,
http://linkedlifedata.com/resource/pubmed/chemical/Glycyrrhetinic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Glycyrrhizic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Hydroxysteroid Dehydrogenases,
http://linkedlifedata.com/resource/pubmed/chemical/Mineralocorticoids
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pubmed:status |
MEDLINE
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pubmed:issn |
0250-4960
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
177-81
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8232712-11-beta-Hydroxysteroid Dehydrogenases,
pubmed-meshheading:8232712-Adult,
pubmed-meshheading:8232712-Blood Pressure,
pubmed-meshheading:8232712-Female,
pubmed-meshheading:8232712-Glycyrrhetinic Acid,
pubmed-meshheading:8232712-Glycyrrhiza,
pubmed-meshheading:8232712-Glycyrrhizic Acid,
pubmed-meshheading:8232712-Humans,
pubmed-meshheading:8232712-Hydroxysteroid Dehydrogenases,
pubmed-meshheading:8232712-Hypokalemia,
pubmed-meshheading:8232712-Mineralocorticoids,
pubmed-meshheading:8232712-Plants, Medicinal,
pubmed-meshheading:8232712-Rhabdomyolysis
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pubmed:year |
1993
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pubmed:articleTitle |
[Hypokalemia without arterial hypertension by licorice poisoning].
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pubmed:affiliation |
Service de Néphrologie, Hôpital Avicenne, Bobigny.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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