Alcohol flush reaction: Difference between revisions

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{{Infobox medical condition
{{Infobox medical condition
| name            = Alcohol flush reaction
| name            = Alcohol flush reaction
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| frequency      = Common in East Asian populations
| frequency      = Common in East Asian populations
}}
}}
== Alcohol Flush Reaction ==
[[File:The_Alcohol_Flushing_Response.png|thumb|right|Illustration of the alcohol flushing response]]
The '''alcohol flush reaction''' is a condition in which the face and sometimes other parts of the body experience flushing or redness after the consumption of alcohol. This reaction is primarily due to an accumulation of acetaldehyde, a metabolic byproduct of alcohol, in the body.
The '''alcohol flush reaction''' is a condition in which the face and sometimes other parts of the body experience flushing or redness after the consumption of alcohol. This reaction is primarily due to an accumulation of acetaldehyde, a metabolic byproduct of alcohol, in the body.
 
[[File:ALDH2_rs671_genotype_frequency.png|ALDH2 rs671 genotype frequency|thumb]]
== Causes ==
== Causes ==


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== Genetic Basis ==
== Genetic Basis ==
[[File:ALDH2_rs671_genotype_frequency.png|thumb|right|Frequency of ALDH2 rs671 genotype]]


The genetic basis of the alcohol flush reaction is linked to a single nucleotide polymorphism (SNP) in the ALDH2 gene, known as rs671. This SNP results in the substitution of glutamic acid with lysine at position 487 of the enzyme, rendering it inactive. The inactive form of ALDH2 is prevalent among East Asian populations, which explains the higher incidence of alcohol flush reaction in these groups.
The genetic basis of the alcohol flush reaction is linked to a single nucleotide polymorphism (SNP) in the ALDH2 gene, known as rs671. This SNP results in the substitution of glutamic acid with lysine at position 487 of the enzyme, rendering it inactive. The inactive form of ALDH2 is prevalent among East Asian populations, which explains the higher incidence of alcohol flush reaction in these groups.
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* [[Esophageal cancer]]
* [[Esophageal cancer]]
* [[Genetic polymorphism]]
* [[Genetic polymorphism]]
== Gallery ==
<gallery>
File:AsianFlushBack.JPG|Example of facial flushing in an individual with alcohol flush reaction
</gallery>
[[Category:Genetic disorders]]
[[Category:Genetic disorders]]
[[Category:Alcohol and health]]
[[Category:Alcohol and health]]
<gallery>
File:The_Alcohol_Flushing_Response.png|The Alcohol Flushing Response
File:AsianFlushBack.JPG|Asian Flush Back
File:ALDH2_rs671_genotype_frequency.png|ALDH2 rs671 genotype frequency
</gallery>

Latest revision as of 02:44, 4 April 2025

Alcohol flush reaction
File:The Alcohol Flushing Response.png
Synonyms Asian flush syndrome, Asian glow
Pronounce N/A
Specialty N/A
Symptoms Facial flushing, nausea, headache, tachycardia, hypotension
Complications N/A
Onset Within minutes of alcohol consumption
Duration Variable, typically resolves within hours
Types N/A
Causes Acetaldehyde dehydrogenase deficiency
Risks Increased risk of esophageal cancer
Diagnosis Clinical evaluation, genetic testing
Differential diagnosis Rosacea, carcinoid syndrome, mastocytosis
Prevention Avoidance of alcohol
Treatment Symptomatic treatment, antihistamines
Medication N/A
Prognosis N/A
Frequency Common in East Asian populations
Deaths N/A


The alcohol flush reaction is a condition in which the face and sometimes other parts of the body experience flushing or redness after the consumption of alcohol. This reaction is primarily due to an accumulation of acetaldehyde, a metabolic byproduct of alcohol, in the body.

File:ALDH2 rs671 genotype frequency.png
ALDH2 rs671 genotype frequency

Causes[edit]

The alcohol flush reaction is caused by a deficiency in the enzyme aldehyde dehydrogenase 2 (ALDH2), which is responsible for breaking down acetaldehyde into acetic acid. Individuals with an inactive form of the ALDH2 enzyme cannot efficiently metabolize acetaldehyde, leading to its accumulation and the subsequent flushing response.

Genetic Basis[edit]

The genetic basis of the alcohol flush reaction is linked to a single nucleotide polymorphism (SNP) in the ALDH2 gene, known as rs671. This SNP results in the substitution of glutamic acid with lysine at position 487 of the enzyme, rendering it inactive. The inactive form of ALDH2 is prevalent among East Asian populations, which explains the higher incidence of alcohol flush reaction in these groups.

Symptoms[edit]

The primary symptom of the alcohol flush reaction is facial flushing, but it can also include:

  • Increased heart rate
  • Nausea
  • Headache
  • Dizziness
  • General discomfort

Health Implications[edit]

Individuals with the alcohol flush reaction may have an increased risk of developing esophageal cancer due to the carcinogenic effects of acetaldehyde. The accumulation of acetaldehyde can also lead to other health issues, such as hypertension and alcohol intolerance.

Management[edit]

There is no cure for the alcohol flush reaction, but it can be managed by avoiding alcohol consumption or using medications that inhibit alcohol metabolism. Some individuals may choose to use cosmetic products to mask the redness associated with flushing.

Related Pages[edit]