Red Blotchy Nightmare

I feel all of your pain - I have had this FOREVER since I can remember looking in the mirror. There are millions of triggers and sometimes no trigger. I had it at my wedding, walked down the aisle looking like I was wearing a red shirt under my gown that spread up behind my ears and jaw. Lovely. However, it has gotten worse with age - it happens with any emotion whatsoever that is heightened; with a drop of alcohol, even if I stay out of light or heat, with spicy foods or just acidic foods, with headaches, with extreme heat or cold, with too much salt, in the sun ( even under an umbrella) - in any direct light at all as a matter of fact. I have normal blood pressure, normal health. I am pretty emotional, pretty stressed. I can`t go to bloomingdales because the spot lights make me red, hot and my hands swell. Can`t go anywhere where there is track lighting. I have just learned to live with this, to tolerate it, to explain it to others when i know it will happen. I just accept it - until recently. I was out with a collegue and rep having lunch. I ordered a grilled tuna steak and after eating it, proceeded to have the most aggressive flushing i have had to date. My mouth even got tingly and i was blood red up to my elbows, even into my scalp. Later that day someone swore it was an allergy to sulfites. Someone else, an allergy to seafood - all of a sudden! but i knew it was just more of the same, just worse. So I took a Benedryl; it went away in about an hour. That is the first time my blotchiness reacted to anything. (My dermotologist actually has had me on aldactone ( beta blocker) for 8 years and that has had 0 effect on it. It was prescribed in combo to birth control to regulate my hormones as she thought the problem was hormonal. It made my skin beautiful but i still reacted to light, heat, alcohol, spicy etc.) Most recently, i had another reaction about 2 weeks after the tuna incident - I just woke up one morning with major, MAJOR hives/acne on the right side of my face after having drinks with a friend the night before. Recognizing that the alcohol may have just been too much, that i may have just flushed for too long and brought out a new phase of it, i went straight to a stand-in dermo for an explanation-- I was HIDEOUS and had to work that week. I took off my baseball cap and he said it was an allergic reaction - to what? anyones guess. I hadn`t raied any new foods. I took Locoid cream - no help. Then i broke out again, not as severe on both sides of my face a week later. Finally went to my regular dermo last week and she said it was rosacea. I am on Doryx ( tetracycline) and Metrogel/Elidel cream 2x a day. It has gotten rid of most of the hive/acne but i still get the blotchiness which seems to aggravate it.

HERE IS MY QUESTION: has anyone with the blotchiness had these breakouts or reactions? help!!!, very desperate to find out what is happening to me. Has anyone been diagnosed with Rosacea as well at a young age who is not fair skinned? ( i am 31, medium skin). Also, have any of you been on Accutane? i am curious if this is a side effect ( years later...) any similar stories would be helpful and or experiences with this and food or otehr allergies.