Waking up to dark circles under the eyes is a common experience, often linked to late nights or periods of stress. Factors like fatigue, aging, lack of sleep, and eye strain are typically cited as causes. However, vitamin deficiencies—specifically vitamins E, D, K, A, and B12—along with iron deficiency, can also contribute to the appearance of under-eye darkness.
While dark circles are generally harmless and associated with sleep deprivation, they can sometimes indicate more serious health concerns. TikTok user @lovesss_youu24 recently shared her experience after consulting a dermatologist, who revealed that her dark circles were linked to a hereditary health issue.
The dermatologist explained, “You have allergic shiners under your eyes.” Initially, she attributed her dark circles to lack of sleep, but he clarified that they were caused by congestion in her blood vessels, which produces pigment due to familial allergies.
Allergic shiners—also known as allergic facies or periorbital venous congestion—are characterized by dark circles under the eyes resulting from allergies such as hay fever, dust allergies, and certain food allergies. These circles occur when blood accumulates beneath the eyes due to swollen nasal tissues.
Symptoms of allergic shiners include a shadowy pigmentation or a blue or purple tint under the eyes, resembling a bruise. In cases where allergies are the cause, other symptoms may accompany the dark circles, including watery, red, or itchy eyes, a scratchy throat, sneezing, nasal congestion, and sinus pressure.
While allergic shiners typically do not pose a significant health risk, Verywell Health advises consulting a healthcare provider if allergy symptoms interfere with daily activities. Other red flags include signs of infection—such as high fever, green nasal discharge, or sinus pain—especially if only one eye is affected and deteriorating.
For those dealing with allergic shiners, home remedies can provide relief. Techniques include applying a cold compress under the eyes, using allergy-proof bedding, employing a dehumidifier, or installing a HEPA air filter. The NHS also recommends seeking emergency assistance if allergies result in life-threatening reactions, characterized by sudden swelling in the lips, mouth, throat, or tongue, difficulty breathing, tightness in the throat, extreme confusion, drowsiness, or dizziness.
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