Histamine Intolerance and Rosacea Flares

Histamine is a chemical involved in immune responses. Some patients find that specific foods can trigger a flare of their rosacea and it is possible that histamine contained with these foods can be contributary for a small proportion of patients.

Can histamine be a driver for rosacea flares?

If you notice that your flushing and redness are consistently triggered after consuming high-histamine foods like aged cheese, red wine, processed meats, or fermented products (like sauerkraut), histamine intolerance might be a contributing factor. Other systemic symptoms alongside the flush, such as headaches, hives, or digestive issues, can also be a clue.

Can a low histamine diet help rosacea?

If histamines are triggers for roasacea flares it might seem logical that a low histamine diet could help. However, the diet is very restrictive and difficult to follow long-term. It needs to be followed for a minimum of 1 month to see if there is a benefit and even when patients have relevant symptoms it often does not lead to an improvement in rosacea.

Can antihistamines help rosacea?

While it might seem logical that antihistamines could be helpful, in my experience they rarely have any benefit for rosacea flares. Nevertheless they are safe drugs and it is reasonable to try in patients with relevant symptoms.

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Dr Magnus Lynch

About Dr Magnus Lynch

MA(Cantab) DPhil(Oxon) MRCS FRCP

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John's Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King's College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions.

My NHS practice is at Guy's Hospital. I consult with private patients at OneWelbeck (near to Bond Street station) and on Harley Street. Book A Consultation.

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