Apparent mineralocorticoid excess syndrome cases recorded worldwide. Liquorice consumption may also cause a temporary form of AME due to its ability to block 11β-hydroxysteroid dehydrogenase type 2, in turn causing increased levels of cortisol. Cessation of licorice consumption will reverse this form of AME. Apparent mineralocorticoid excess syndrome Apparent mineralocorticoid excess (AME) is an autosomal recessive disorder causing hypertension (high blood pressure) and hypokalemia (abnormally low levels of potassium). It was found by Dr Maria I. New at Weil Cornell Hospital in New York City. It results from mutations in the "HSD11B2" gene, which encodes the kidney isozyme of 11β-hydroxysteroid dehydrogenase type 2. In
White-nose syndrome acidosis-induced extracellular shift of potassium. Dying, infected cells could also leak their (intracellular) potassium into the blood. The damaged wing epidermis might stimulate increased frequencies of arousal from torpor, which removes excess CO₂ and normalizes blood pH, at the expense of hydration and fat reserves. With worsening wing damage, the effects are exacerbated by water and electrolyte loss across the wound (hypotonic dehydration), which stimulates more frequent arousals in a positive feedback loop that ultimately leads to death. The disease was first reported in January 2007 in New York caves, although it was retrospectively detected in a photograph taken in