A 33-year-old male patient was referred to our outpatient allergy clinic after 2 separate instances of allergic reactions after the consumption of commercial artisanal beer. The first instance was more than a decade before presenting, but the patient had minimal recollection of the occurrence. On the second instance, the onset of symptoms occurred after 2 sips of the beer. He noticed immediate difficulty in breathing, throat tightness, chest tightness, and dyspnea. He self-administered diphenhydramine, and symptoms resolved by the time he presented to the emergency department.

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