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Food Allergies/Alcohol Allergy

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Question
Hello, I have recently started getting bright red, hot, itchy spots on my face when I drink.  I have not been able to identify a specific alcohol.  It doesn't always happen but has been more recently.  Beer doesn't seem to bother me, but mixed drinks, wine, wine coolers - all (within 2 sips - not even a whole drink!) will turn my skin around my eyes mainly, to be bright red, and the skin feels very hot.  These are drinks that I've had many times before without any problem.  What could this be or what could be contributing to it?  I do seem to notice a change (better or worse) depending on the specific brand of birth control I take, but that could be a coincidence too I guess.  Can I have blood work done or regular allergy testing to verify a specific ingredient?

Answer
This is not allergy in the true sense. The pattern is highly suggestive of rosacea (Properly acne rosacea, although it is different from common acne). It can delope acne-like skin lesions, but simple flushing around the moth and nose is typical. When severe, the flushing can be most uncomfortable and even painful. The main treatment used to be avoidance of alcohol, tea, coffee and particularly spicy foods. I do not doubt that better drug therapy will have come on stream since I last had to deal with it. I suggest a dermatologist.

Food Allergies

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David Pearson

Expertise

Any in the field I believe. Only experience of questions that get asked will tell.

Experience

I am a retired medical academic from the UK. I have done major research on Food Allergy and have been a government adviser in the area. 30 years experience running an allergy clinic. And undergraduate and post-graduate teaching.

Organizations
Well, apart from the FRCP, I'm no longer active in the area. I'm too busy writing books. And I no longer have the cash to go to international meetings. But was active in many.

Publications
Will 120 scientific papers help? Chapters in books. Patient advisory materials. Magazine articles. TV appearances. Live and recorded. National and international invited lectures, etc. It was my job for 40 years. Do you think I count!

Education/Credentials
MD, PhD, Postgraduate Diplomas etc. Fellow of the Royal College of Physicians. etc. But I don't want that put out on the net! Just to let you know!

Awards and Honors
irrelevant.

Past/Present Clients
Too many to count, patients of course and a large number of all sorts of corporate consultancies and considerable work as an expert witness in the Courts. I'm volunteering because your Greek expert has been so helpful, I thought I'd offer something back.

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