Immediate type allergy to malt in beer.

The article focuses on the case of a women with a 5 years history of chronic conjunctivitis. After using a brand of epinephrine eyedrops, she developed edema of the eyelids followed by red, scaly, itchy lesions, more evident on the right side. Patch tests with the cosmetics used by the patient were found negative. A patch test with the eye drops was strongly positive, the results were obtained with separate components of the eyedrop. Epinephrine bitartrate which are derived from adrenaline and used in ophthalmology as a mydiratic agent was found to be the main allergen.