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Living with Familial cold autoinflammatory syndrome

An inherited condition with itchy or burning rash, fever, and joint pain after cold exposure.

Understanding Familial cold autoinflammatory syndrome

Familial cold autoinflammatory syndrome (familial cold urticaria) is a type of periodic fever syndrome triggered by cold.

Exposure to cold causes an itchy or burning rash, fever, and joint pain. It can begin at a variety of ages.

Signs & symptoms

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

  • Hives (itchy or burning rash)
  • Fever
  • Joint pain or arthritis
  • Muscle aches
  • Headache
  • Tiredness (fatigue)

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, genetic specialists and skin, hair, and nail 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

    Autoimmune Association and 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); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Autoimmune Association, 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 Autoimmune Association 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 genetic testing for the NLRP3 and NLRP12 genes confirm this diagnosis?
Which treatments can prevent episodes?
How can I avoid cold triggers?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesNLRP3

Changes in the NLRP3 or NLRP12 gene can cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticSkin

Also known as: cold-induced autoinflammatory syndrome, familial; familial cold urticaria; fcas; fcas - familial cold autoinflammatory syndrome; fcu; fcu - familial cold urticaria

Patient organizations

Source: NIH GARD · Familial cold autoinflammatory syndromeGARD ID 9535 · 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 Familial cold autoinflammatory syndrome.

Explore the Familial cold autoinflammatory syndrome blog

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Explore actively recruiting Familial cold autoinflammatory syndrome studies with HealthSpark.

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