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pseudohyperaldosteronism

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pseudohyperaldosteronism
Liddle syndrome An AD aldosteronism-like condition characterized by severe HTN and spontaneous hypokalemia
(K+ wasting) leading to hypokalemic alkalosis with ↓ aldosterone secretion Treatment KCl, amiloride and triamterene to prevent K+ wasting, sodium restriction; renal transplantation. Cf Hyperaldosteronism.


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Glycyrrhetic acid is the chief cause of licorice-induced pseudohyperaldosteronism syndrome seen with licorice ingestion, because of its inhibitory effect on the enzyme 11 beta-hydroxysteroid dehydrogenase.
8) Fluoroprednisolone and 9[alpha]-fluorocortisol have considerable direct mineralocorticoid activity; in large amounts they produce arterial hypertension with a clinical picture of pseudohyperaldosteronism (increased exchangeable sodium and blood volume, hypokalemic metabolic alkalosis, and suppressed plasma renin and aldosterone levels).
 
 
 
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