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Living with Hypocomplementemic urticarial vasculitis

A rare condition of inflamed small blood vessels with repeated hives and low complement proteins, sometimes affecting joints, lungs, eyes, and kidneys.

Understanding Hypocomplementemic urticarial vasculitis

Hypocomplementemic urticarial vasculitis (HUV) is a rare vasculitis with inflamed small blood vessels and low complement proteins.

It causes repeated hives (urticaria) and painful skin sores that itch or burn. Some people also have joint pain, lung disease, eye inflammation, or kidney inflammation. When it is more severe, some scientists call it HUV syndrome (HUVS). It usually happens by chance, but family cases have been reported. It may link to an infection or another disease such as lupus.

Signs & symptoms

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

  • Recurrent hives and swelling
  • Itchy or burning skin lesions
  • Joint pain (arthritis)
  • Breathing difficulty and cough
  • Eye inflammation
  • Blood in urine

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 kidney specialists.

  3. Consider genetic testing

    Changes in DNASE1L3 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

    Vasculitis Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: Vasculitis 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 Vasculitis 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
Which tests will show how my lungs and kidneys are doing?
Which medicines can calm the inflammation?
Is there an underlying condition, like lupus, to look for?

Quick facts

Symptoms usually startChild and as an Adult
InheritanceAutosomal Recessive
GenesDNASE1L3

Both genetic and environmental factors are thought to play a role. It is thought to involve an abnormal immune response. GARD lists DNASE1L3 as a gene and autosomal recessive inheritance.

GeneticKidney

Also known as: anti-c1q vasculitis; hypocomplementemic vasculitis; mac duffie hypocomplementemic urticarial vasculitis; mac duffie syndrome; mcduffie hypocomplementemic urticarial vasculitis; mcduffie syndrome

Patient organizations

Source: NIH GARD · Hypocomplementemic urticarial vasculitisGARD ID 6725 · 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 Hypocomplementemic urticarial vasculitis.

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