Histamine intolerance and skin problems such as rashes
Histaminosis can trigger various symptoms: from migraines to weight problems, nausea, diarrhea, and constipation, all the way to skin problems. Find out what is behind this and what measures you can take in this blog post.
Histamine intolerance and the skin
The topics of histamine and the skin are closely linked, because the histamine N-methyltransferase (HNMT)is responsible for, among other things, the breakdown of histamine in the skin. However, if the activity of this enzyme is impaired, it leads to skin problems. Even if your body itself releases or produces a large amount of histamine, your breakdown capacity can be limited.
Histamine intolerance symptoms on the skin
- Angioedema: fluid retention and swelling of the skin, particularly in the face
- Wheals (urticaria): small red or white skin swellings with a red border, often arranged in patches
- Skin flushing: occurring suddenly, especially on the face, décolleté, and neck
- Itching: usually over the wheals, as this area of skin is very sensitive
- Pimples/skin blemishes: due to secondary effects such as gut dysbiosis or hormonal imbalances

Histamine and rashes: treatment and tips
- Always prepare food fresh and do not store it for long, as it will otherwise produce histamine. Alcohol is not recommended for those with histamine intolerance. If you do have a small glass, histamine-tested wine is recommended.
- The consumption of secondary plant compounds (polyphenols), such as resveratrol, can inhibit the release of histamine from mast cells.
- Avoidance or restricted consumption of allergy-promoting foods such as dairy products, nuts, wheat, and fish (soy should be avoided in a low-histamine diet anyway).
- Avoidance of irritating fragrances and pollutants such as perfume, fabric softeners, chemical detergents, certain skincare products, or essential oils.
- Avoidance of make-up, as it clogs your pores and can lead to further skin irritation.
- Avoidance of certain medications or switching to a specific preparation. If you have a medical condition, you should not discontinue or change medications on your own, but always consult a doctor.
- Always consult a specialist if you suspect allergies or other illnesses. Histamine intolerance is not always the cause of skin problems, and existing diseases can worsen histamineosis.
INFO: Our skin, with 1.5–2 square meters and up to 10 kg of mass, is our largest organ. Every day, we unconsciously absorb a large amount of toxins and (hormonal) pollutants through it, whether through care products and cosmetics containing silicones, aluminum, microplastics, fragrances and preservatives, mineral oils, or plasticizers.
These must be broken down by the liver. If the liver is overloaded, the breakdown of toxins is also limited. Normal bodily processes, such as histamine breakdown, can no longer be adequately managed as a result.
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Sources
- Histamine intolerance - current state of the art in diagnosis and therapy
- Micronutrients with anti-allergic properties
- Food intolerances
- Hives: Histamine intolerance can be a trigger
- General dermatology: Histamine intolerance
- Skin problems and histamine intolerance
- Histamine intolerance
- Recognizing histamine intolerance by these symptoms
- Ingredients in cosmetics – What is actually harmful?
