Allergy to beer – case report

Material and methods Patient, male, 50 years old, treated in the Outpatient Clinic of Allergic Diseases because of bronchial asthma. On a follow up visit patient was complaining of watery rhinorrhea, swelling and itching of hands and feet, generalized urticaria. Careful interview reveled that patient usually drinks a beer in the afternoon and symptoms worsen immediately after ingestion. During diagnosis patient had skin prick test (SPT) with inhalatory and food allergensusing a set from Allergopharma. We also determined the level of allergen specific IgE against Dermatophagides pteronissinus and Dermatophagoides farine, Alternata alternata, Cladosporium, Aspergillus, Hops and Barley. Patient had prick by prick test with three brands of beer, fresh and dried hops, baking yeast, barley and hopped liquid malt extract.