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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Chocolate Cause Inflamed, Painful Red Nodules On Face?

Hello, thank you for your time.. First off I am a Registered Nurse with 30 years direct patient care experience so feel free to use medical terminology. I have a diagnosis of mild Hydradenitis Superativa. I get occasional outbreaks that are limited to axilla, groin, & sometimes skin folds. But all my life, if i eat chocolate- not cocoa- but the whole chocolate product in any form other than cocoa, i develop inflamed, painfull red nodules on my face and buttocks only. I can even time it. They appear 12 to 48 hrs from chocolate consumption. They run their course going away within two weeks and never return unless i eat a piece of chocolate. Doesn t seem to matter what quality of chocolate or what is with the chocolate though i usually like it without added stuff. My question is: what exactly am i reacting to? No amount of cocoa powder will cause the reaction. But whole chocolate does.
Thu, 28 May 2020
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General Surgeon 's  Response
Hello,

* As per my clinical experience, it is the caffeine content of chocolate which provokes the issue.

* The caffeine of chocolate can provoke or enhance the allergic reaction to skin in terms of acne type eruptions over various parts of the body.

* While the side effects of cocoa include

- nervousness
- raised heart beat
- constipation
- increase urination
- allergy
- migraine headache.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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Does Chocolate Cause Inflamed, Painful Red Nodules On Face?

Hello, * As per my clinical experience, it is the caffeine content of chocolate which provokes the issue. * The caffeine of chocolate can provoke or enhance the allergic reaction to skin in terms of acne type eruptions over various parts of the body. * While the side effects of cocoa include - nervousness - raised heart beat - constipation - increase urination - allergy - migraine headache. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel