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Living with STING-associated vasculopathy with onset in infancy

An inherited inflammation condition that starts in infancy and mainly affects the skin, blood vessels, and lungs.

Understanding STING-associated vasculopathy with onset in infancy

STING-associated vasculopathy with onset in infancy (SAVI) is an inherited condition of body-wide inflammation, mainly in the skin, blood vessels, and lungs.

SAVI is an autoinflammatory disease, meaning the immune system causes too much inflammation. Signs begin in the first few months of life and mostly involve blood vessel problems. Skin on the face, ears, nose, fingers, and toes can become badly damaged, and this worsens in cold weather. People also have recurrent low-grade fevers and swollen lymph nodes. Some develop widespread lung damage.

Signs & symptoms

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

  • Skin rashes that can turn into sores
  • Purplish, net-like skin color (livedo reticularis)
  • Fingers and toes that turn white or blue in the cold
  • Repeated low-grade fevers
  • Swollen lymph nodes
  • Fast breathing and lung damage

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, lung and breathing specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in STING1 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); Lung and breathing specialists (pulmonologists); 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
How often should my child's lungs be checked?
How can we protect my child's skin in cold weather?
Would STING1 gene testing help our family?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesSTING1

Changes in the STING1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticRespiratorySkin

Also known as: savi; sting-associated vasculopathy, infantile-onset

Patient organizations

Broader rare-disease groups

Source: NIH GARD · STING-associated vasculopathy with onset in infancyGARD ID 12357 · 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 STING-associated vasculopathy with onset in infancy.

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