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Question

Liquorice misuse, by inhibiting 11 beta-hydroxysteroid dehydrogenase type 2 enzyme, can cause a condition which resembles the clinical features of:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

Mineralocorticoid excess

11-beta-hydroxysteroid dehydrogenase type 2 normally inactivates cortisol to cortisone in mineralocorticoid-responsive tissues. Liquorice (glycyrrhizic acid) inhibits this enzyme, allowing cortisol to act on mineralocorticoid receptors, causing apparent mineralocorticoid excess (hypertension, hypokalemia, metabolic alkalosis).

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