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Living with Autosomal dominant vibratory urticaria

A rare condition in which vibration brings on itchy, red, swollen skin within minutes.

Understanding Autosomal dominant vibratory urticaria

Autosomal dominant vibratory urticaria is a rare condition in which itching, reddish skin, and swelling appear within minutes of vibration on the skin.

The skin areas most exposed to the vibration, often the hands, are usually affected most. During an episode, people may also have flushing, headaches, fatigue, blurry vision, or a metallic taste in the mouth. Common triggers include mowing the lawn, riding a motorcycle, horseback riding, or mountain biking. It can start at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hives (urticaria)
  • Flushing
  • Redness of the cheeks (facial erythema)
  • Itching and swelling of the skin
  • Headaches during episodes
  • Fatigue or a metallic taste during episodes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include allergy and immune system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in ADGRE2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the ADGRE2 gene confirm the diagnosis?
Which activities should I watch for as triggers?
Which specialist, such as an allergist or dermatologist, should I see?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesADGRE2

It is caused by changes in the ADGRE2 gene. It appears to be inherited in an autosomal dominant way, so a change in one copy of the gene can cause it.

GeneticSkin

Also known as: ddu; dermodistortive urticaria; vbu; vibratory urticaria; vibratory urticaria, autosomal dominant

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Autosomal dominant vibratory urticariaGARD ID 9806 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal dominant vibratory urticaria.

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