Anaphylaxis to wheat beer

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
Thomas HerzingerBernhard Przybilla

Abstract

Despite its worldwide and abundant consumption, beer has rarely been found to cause anaphylaxis. Barley malt contained in lager beers seems to be an important elicitor. To report the unusual case of severe anaphylaxis following the ingestion of wheat beer. A 59-year-old man experienced angioedema, generalized urticaria, and unconsciousness after ingestion of wheat beer. He tolerated lager beer well. For diagnostic evaluation, skin prick tests, oral challenge tests, and identification of specific IgE antibodies were performed. Skin prick test results with standard series of common aeroallergens and food allergens were negative with the exception of a 1 + reaction to wheat flour. The results of skin prick tests with native materials were positive for 2 brands of wheat beer and wheat malt shred but negative for baker's yeast, hops, and a brand of lager beer. Oral challenges with wheat beer or wheat flour elicited urticaria. By CAP-FEIA, specific IgE antibodies to wheat and barley flour but not to hops or baker's yeast were found in serum. Immunoblot analysis revealed that patient's IgE was bound to a protein of approximately 35 kDa in wheat extract. This is the first report, to our knowledge, on anaphylaxis to beer attributable to...Continue Reading

References

Jun 1, 1980·Contact Dermatitis·W G van Ketel
Dec 1, 1995·Contact Dermatitis·C Gutgesell, T Fuchs
May 1, 1996·Contact Dermatitis·B SantucciM Giannattasio
Apr 15, 1999·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·A CurioniM Giannattasio
May 18, 1999·The Journal of Allergy and Clinical Immunology·S Fernández-AnayaA López-Rubio
Aug 6, 1999·Allergy·E FigueredoJ Sastre
Jul 31, 2001·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·R AseroR van Ree
Jan 22, 2003·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·M LehtoH Alenius

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Citations

Nov 13, 2009·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·R BransH F Merk
Apr 9, 2008·Bioscience, Biotechnology, and Biochemistry·Miki HiemoriHideaki Tsuji
Dec 15, 2015·The Journal of Dermatology·Tomoko InoueKayoko Matsunaga
Nov 29, 2011·Journal of the American Dietetic Association·Isabel Skypala
Oct 1, 2008·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·A S Tatham, P R Shewry
Dec 21, 2013·International Archives of Allergy and Immunology·Zhiqiang SongJohannes Ring
Aug 11, 2018·BMJ Case Reports·Luisa BrussinoGiovanni Rolla
Jan 6, 2019·BMJ Case Reports·Joana Sofia PitaAna Todo Bom

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