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Living with Familial cold autoinflammatory syndrome 2

A rare inherited condition with repeated fever episodes, often triggered by cold, starting in infancy.

Understanding Familial cold autoinflammatory syndrome 2

Familial cold autoinflammatory syndrome 2 is a rare condition with repeated episodes of fever and other body-wide symptoms, often triggered by cold.

Episodes can include muscle and joint pain, joint swelling, hives, headache, and rash. It starts in newborns and infants.

Signs & symptoms

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

  • Repeated fever
  • Hives
  • Joint pain
  • Muscle aches
  • Headache
  • Hearing loss from the inner ear

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, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in NLRP12 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
autoimmune and inflammatory disease specialists (rheumatologists); 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 The International Foundation for Autoimmune & Autoinflammatory Arthritis 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 NLRP12 gene confirm this diagnosis?
Which treatments can reduce episodes?
How should my hearing be monitored?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesNLRP12

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

GeneticSkin

Also known as: familial cold autoinflammatory syndrome caused by mutation in nlrp12; familial cold autoinflammatory syndrome type 2; fcas2; fcas2 - familial cold autoinflammatory syndrome type 2; nalp12-associated hereditary periodic fever syndrome; naps12

Patient organizations

Source: NIH GARD · Familial cold autoinflammatory syndrome 2GARD ID 17201 · 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 2.

Explore the Familial cold autoinflammatory syndrome 2 blog

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