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Living with Chronic infantile neurological, cutaneous and articular syndrome

A rare inherited inflammatory condition, also called NOMID, with a skin rash from birth and effects on the brain, joints, hearing, and vision.

Understanding Chronic infantile neurological, cutaneous and articular syndrome

Chronic infantile neurological, cutaneous and articular syndrome (NOMID) is the most severe form of the cryopyrin-associated periodic syndromes (CAPS).

People have a skin rash from birth that lasts throughout life. Other symptoms may include headaches, seizures, and vomiting from chronic meningitis (inflammation around the brain), intellectual disability, episodes of mild fever, and hearing and vision problems. GARD lists onset in the newborn period and infancy.

Signs & symptoms

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

  • Skin rash from birth
  • Headaches, seizures, and vomiting from chronic meningitis
  • Mild fever episodes
  • Hearing and vision problems
  • Joint differences
  • Tiredness and enlarged liver

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 autoimmune and inflammatory disease specialists, allergy and immune system specialists, bone and joint specialists and brain and nervous system specialists.

  3. Consider genetic testing

    Changes in NLRP3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Allergy and immune system specialists (allergists / immunologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists)
Expert care
Expert lists: Immune Deficiency Foundation
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 Immune Deficiency Foundation and other patient organizations
  • 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 NLRP3 genetic testing confirm the diagnosis?
How often should vision, hearing, and the brain be checked?
Which specialists should manage my child's care?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesNLRP3

GARD says changes in the NLRP3 (CIAS1) gene cause this condition, found in about 50% of people with it. It is autosomal dominant, so one changed copy can be enough.

GeneticNeurologicalSkin

Also known as: chronic infantile neurological cutaneous and articular syndrome; chronic infantile neurological cutaneous articular syndrome; chronic neurologic cutaneous and articular syndrome; cinca; cinca - chronic infantile neurological, cutaneous and articular syndrome; cinca syndrome

Patient organizations

Source: NIH GARD · Chronic infantile neurological, cutaneous and articular syndromeGARD ID 1356 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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