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Cold urticaria

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radiate from the contact area of the ice. However, while these techniques assist in diagnosis, they do not provide information about temperature and stimulation time thresholds at which patients will start to develop symptoms, which is essential because it can establish disease severity and monitor the effectiveness of treatment.
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When the body is exposed to the cold in individuals affected by the condition, hives appear and the skin in the affected area typically becomes itchy. Hives result from dilation of capillaries which allow fluid to flow out into the surrounding tissue which is the epidermis. They resolve when the body
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or other licensed practitioner performing a cold test. During the cold test, a piece of ice is placed inside a thin plastic bag and held against the forearm, typically for 3–4 minutes. A positive result is a specific looking mark of raised red hives. The hives may be the shape of the ice, or it may
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Hives on the back from exposure to cold air on an individual with cold allergy. The hives were induced by riding a stationary bike shirtless for an hour next to a door cracked open on a cool day. The temperature of the air flowing in was around 10 Â°C (50 Â°F). The lighter band at chest
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The effect of FCAS on the quality of life of patients is far reaching. A survey of patients in the United States in 2008 found that "o cope with their underlying disease and to try to avoid symptomatic, painful, flares patients reported limiting their work, school, family, and social activities.
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Smith, David W.; Johnson, Kenneth A.; Bingman, Craig A.; Aceti, David J.; Blommel, Paul G.; Wrobel, Russell L.; Frederick, Ronnie O.; Zhao, Qin; Sreenath, Hassan; Fox, Brian G.; Volkman, Brian F.; Jeon, Won Bae; Newman, Craig S.; Ulrich, Eldon L.; Hegeman, Adrian D.; Kimball, Todd; Thao, Sandy;
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Hives may appear immediately or after a delay. Hives can last for a few minutes or a few days, and vary from person to person. Also, a burning sensation occurs. A serious reaction is most likely to occur for patients where the hives occur with less than three minutes of exposure (during a cold
372:) can trigger a reaction in affected people. Avoiding exposures limits the risk of a reaction. The reaction usually affects the body parts that are exposed, so cold air could trigger a reaction to exposed skin or in the breathing passages if cold air is inhaled. Risky exposures include: 298:
absorbs this fluid. The border of a hive is described as polycyclic, or made up of many circles, and changes as fluid leaks out and then is absorbed. Pressing on a hive causes the skin to blanch (turn pale as blood flow is interrupted), distinguishing it from a bruise or papule.
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Ross JB; Finlayson, LA; Klotz, PJ; Langley, RG; Gaudet, R; Thompson, K; Churchman, SM; McDermott, MF; Hawkins, PN; et al. (2010-02-01). "Use of anakinra (Kineret) in the treatment of familial cold autoinflammatory syndrome with a 16-month follow-up".
337:"The mutation discovered occurs in a gene for phospholipase C-gamma2 (PLCG2), an enzyme involved in the activation of immune cells. The investigators have named the condition PLCG2-associated antibody deficiency and immune dysregulation, or PLAID." 451:: A reaction may even occur on a warm day or coming out of a sauna when there is sweat on the skin, since the reaction is triggered by skin temperature, not core temperature. If there is a breeze, it will rapidly cool the skin and create hives. 1806: 1786: 1529:
Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. (2014). "The EAACI/GA(2) LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update".
530:, taken daily, should help to prevent and/or lessen the likelihood of a reaction and thus, anaphylaxis. The effectiveness of topical antihistamine creams against hives induced by cold temperature has not been evaluated. 258:
Seventy-eight percent of survey participants described an impact of the disease on their work, including absenteeism and impaired job advancement; frequently, they quit their job as a consequence of their disease".
99:) form on the skin after exposure to a cold stimulus. The hives are usually itchy and often the hands, feet and other parts of the body will become itchy and swollen as well. Hives vary in size from about 359:
Management largely consists of avoiding exposures that could trigger a reaction and taking medicine to manage the reaction. The best treatment for this allergy is avoiding exposure to cold temperatures.
121:). The acquired form is most likely to begin between ages 18 and 25, although it can occur as early as 5 years old in some cases. Life-threatening risks include suffocation resulting from swollen tissue ( 1324:
Soter Nicholas A.; Wasserman Stephen I.; Austen K. Frank (1976). "Cold Urticaria: Release into the Circulation of Histamine and Eosinophil Chemotactic Factor of Anaphylaxis during Cold Challenge".
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Siebenhaar F, Weller K, : clinical picture and update on diagnosis and treatment (May 2007). "Acquired cold urticaria: Clinical picture and update on diagnosis and treatment".
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Cool/cold surfaces: Sitting on sidewalks which are cool, leaning on or grabbing a cold pole can result in hives forming on the area which had contact with the cool surfaces.
318:(meaning they have no known cause). Some rare conditions can cause cold hives, and it can be useful to test for these conditions if the cold hives are in any way unusual. 1882: 721: 1724:
Magerl M, Schmolke J, Siebenhaar F, Zuberbier T, Metz M, Maurer M (December 2007). "Acquired cold urticaria symptoms can be safely prevented by ebastine".
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have identified a genetic mutation in three unrelated families that causes a rare immune disorder characterized by excessive and impaired immune function:
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Abajian, Marina; Curto Barredo, Laia; Krause, Karoline; Santamaria, Eva; Izquierdo, Iñaki; Church, Martin K.; Maurer, Marcus; Giménez Arnau, Ana (2016).
526:(Allegra) may be taken orally to prevent and relieve some of the hives. For those who have severe anaphylactic reactions, a prescribed medicine such as 314:
reaction in response to cold stimuli, including a drastic drop in temperature, cold air, and cold water. There are many causes for cold hives, most are
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Stych, B; Dobrovolny, D (2008). "Familial cold auto-inflammatory syndrome (FCAS): characterization of symptomatology and impact on patients' lives".
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Restriction of blood flow: Activities which cause tense muscles and reduce blood flow can cool the body parts enough to trigger itching and hives.
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Hoffman, Hal M.; Rosengren, Sanna; Boyle, David L.; Cho, Jae Y.; Nayar, Jyothi; Mueller, James L.; Anderson, Justin P.; Wanderer, Alan A.;
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James, William D.; Berger, Timothy G.; Elston, Dirk M.; Grekin, Roy C.; Neuhaus, Isaac M.; Wei, Maria L. (2006). "Erythema and Urticaria".
2077: 1821: 849:"Mutation of a new gene encoding a putative pyrin-like protein causes familial cold autoinflammatory syndrome and Muckle-Wells syndrome" 560:(Xolair) may be an effective and safe treatment for cold urticaria in patients who do not sufficiently respond to standard treatments. 484:
was found to significantly reduce the development of chronic cold urticaria symptom without an increase in adverse effects at doses of
1632: 2280: 904: 831: 1412: 1035:"Prevention of cold-associated acute inflammation in familial cold autoinflammatory syndrome by interleukin-1 receptor antagonist" 1984: 1961: 1576: 930: 156:, and occurs in rainy, windy weather, and after swimming in cold water and after contact with cold objects, including ice cubes. 1868: 1360:"NIH scientists find cause of rare immune disease: Genetic mutation leads to cold allergy, immune deficiency and autoimmunity" 1359: 1956: 1455: 2230: 2191: 2082: 908: 322: 2151: 239:. It is rare and is estimated as having a prevalence of 1 per million people and mainly affects Americans and Europeans. 1922: 955:
Tweedie, Susan; Braschi, Bryony; Gray, Kristian; Jones, Tamsin E. M.; Seal, Ruth L.; Yates, Bethan; Bruford, Elspeth A.
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Abajian M.; Curto-Barredo L.; Krause K.; Santamaria E.; Izquierdo I.; Church M.; Maurer M.; Giménez-Arnau A. (2016).
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Sánchez-Borges, Mario; González-Aveledo, Luis; Caballero-Fonseca, Fernan; Capriles-Hulett, Arnaldo (August 2017).
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may appear within 6 to 8 in (15 to 20 cm) from the IV site in the pattern of a line going up the limb.
2002: 1832: 437:: Swimming can be especially dangerous, as the rapid heart rate combined with the onset of hives can lead to 2206: 1949: 177: 473:. If standard dosing is ineffective, increasing dosages up to fourfold is recommended to control symptoms. 188:
Reflex cold urticaria is a cutaneous condition in which generalized cooling of the body induces widespread
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Familial cold urticaria (also properly known as familial cold autoinflammatory syndrome, FCAS) is an
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This disorder, or perhaps two disorders with the same clinical manifestations, can be inherited (
383:: Exposure to cold or cool air can quickly trigger a reaction; for example walking by the open 2183: 1906: 1843: 1741: 1706: 1657: 1649: 1594: 1547: 1511: 1503: 1437: 1384: 1378: 1341: 1301: 1266: 1231: 1214:
Walsh, GM (2009). "Canakinumab for the treatment of cryopyrin-associated periodic syndromes".
1190: 1151: 1105: 1070: 999: 878: 827: 796: 749: 695: 660: 326: 266: 63: 1482:"Rupatadine 20 mg and 40 mg are Effective in Reducing the Symptoms of Chronic Cold Urticaria" 1413:"Rupatadine 20 Mg and 40 Mg Are Effective in Reducing the Symptoms of Chronic Cold Urticaria" 1179:"Anakinra prevents symptoms of familial cold autoinflammatory syndrome and Raynaud's disease" 265:(Kineret) has been shown effective for FCAS, although this does mean daily injections of the 2201: 2167: 1733: 1696: 1688: 1641: 1584: 1539: 1493: 1427: 1333: 1258: 1223: 1143: 1097: 1060: 1052: 1004: 868: 860: 786: 687: 650: 390: 369: 169: 2245: 1989: 1902: 503: 1979: 1701: 1676: 1065: 1034: 1030: 873: 848: 617: 519: 499: 209: 1815: 1312:
Idiopathic cold urticaria may be immediate, delayed, localized, familial, or acquired.
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Bailey Evan, Shaker Marcus (2008). "An Update on Childhood Urticaria and Angioedema".
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elicited by exposure to cold – sometimes temperatures below 22 Â°C (72 Â°F).
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Allergic Diseases – From Basic Mechanisms to Comprehensive Management and Prevention
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Cold hives can result in a potentially serious or even fatal systemic reaction (
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are extremely rare, and are then associated with other manifestations such as
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Hoffman HM, Mueller JL, Broide DH, Wanderer AA, Kolodner RD (November 2001).
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Traidl-Hoffmann, Claudia; Zuberbier, Torsten; Werfel, Thomas (2021-11-21).
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Secondary cold contact urticaria is a cutaneous condition characterized by
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Cold foods and drinks: Eating or drinking cold or cool substances such as
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Primary cold contact urticaria is a cutaneous condition characterized by
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Drinking cold beverages can trigger hives in people with cold urticaria.
393:: Entering a cool building during a summer day can result in a reaction. 165: 546: 527: 384: 333:, inflammatory skin disorders and cold-induced hives (cold urticaria). 270: 122: 1692: 1543: 994: 416: 153: 1790: 566:
has been proposed as an approach to prevent acquired cold urticaria.
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The first-line therapy is symptomatic relief with second-generation
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Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007).
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and is a slightly milder member of the disease family including
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Allergic urticaria on arm in the form of hives induced by cold.
931:"Familial Cold Auto-inflammatory Syndrome (FCAS): Fact Sheet" 639:"Successful Treatment of Disabling Cholinergic Urticaria" 1565:
Mahmoudi, Massoud (May 2001). "Cold-induced urticaria".
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Cold urticaria may be divided into the following types:
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Anything that lowers the skin temperature (not body's
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National Institute of Allergy and Infectious Diseases
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may result in a reaction inside the mouth and throat.
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The Journal of the American Osteopathic Association
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Andrews' Diseases of the Skin: Clinical Dermatology
74: 62: 40: 35: 1611:: CS1 maint: DOI inactive as of September 2024 ( 1366:, National Institutes of Health. 11 January 2012. 293:height was covered by a heart rate monitor strap. 91:) is a disorder in which large red welts called 335: 775:Current Drug Targets. Inflammation and Allergy 583:, a similar hives reaction in response to heat 553:) for use in the event of a serious reaction. 1876: 637:Feinberg, Jeff H.; Toner, Charles B. (2008). 132:after shock from swimming in cold water, and 8: 1420:Acta Dermato Venereologica Acta Derm Venerol 720:: CS1 maint: multiple names: authors list ( 1177:Samy K Metyas, Hal M Hoffman (2008-02-01). 933:. Regeneron Pharmaceuticals. Archived from 2174:Acute generalized exanthematous pustulosis 2124: 1937: 1912: 1883: 1869: 1861: 1769: 1189:(10). Journal of Rheumatology: 2085–2087. 739: 737: 735: 733: 731: 49: 32: 2048:Acquired C1 esterase inhibitor deficiency 1700: 1675:Brodská P, Schmid-Grendelmeier P (2012). 1588: 1497: 1431: 1294:"Immunologically mediated skin disorders" 1135:Journal of Cutaneous Medicine and Surgery 1064: 897:"Familial cold autoinflammatory syndrome" 872: 790: 654: 541:may have to carry an injectable form of 629: 244:cryopyrin-associated periodic syndromes 18:Familial cold autoinflammatory syndrome 1604: 713: 346:Diagnosis is typically obtained by an 128:) induced by cold foods or beverages, 2101:Episodic angioedema with eosinophilia 1492:(1). Medical Journals Sweden: 56–59. 1406: 1404: 1402: 1400: 769:Tunca, Mehmet; Ozdogan, Huri (2005). 168:, due to serum abnormalities such as 27:Allergic reaction to low temperatures 7: 748:. St. Louis: Mosby. pp. 267–8. 2078:Urticaria-like follicular mucinosis 1292:Yasmeen, Jabeen Bhat (2021-03-04). 818:(10th ed.). Philadelphia, PA: 1633:Current Allergy and Asthma Reports 993:; Phillips, George N. Jr. (2003). 246:(CAPS) caused by mutations in the 25: 905:U.S. National Library of Medicine 1985:Localized heat contact urticaria 1962:Secondary cold contact urticaria 1738:10.1111/j.1398-9995.2007.01500.x 1577:American Osteopathic Association 1383:. Springer Nature. p. 127. 692:10.1111/j.1365-2230.2007.02376.x 160:Secondary cold contact urticaria 1326:New England Journal of Medicine 498:Allergy medications containing 269:into an area such as the lower 119:primary acquired cold urticaria 106:in diameter to as big as about 1957:Primary cold contact urticaria 1228:10.1358/dot.2009.45.10.1436882 929:CAPS, Community (2008-01-01). 148:Primary cold contact urticaria 1: 2231:Necrolytic migratory erythema 2192:Erythema annulare centrifugum 2083:Chronic spontaneous urticaria 1251:Current Opinion in Pediatrics 1057:10.1016/S0140-6736(04)17401-1 909:National Institutes of Health 323:National Institutes of Health 1923:Urticarial allergic eruption 1263:10.1097/mop.0b013e328305e262 608:List of cutaneous conditions 2212:Annular erythema of infancy 1338:10.1056/nejm197603252941302 1296:. In Sarkar, Rashmi (ed.). 1183:The Journal of Rheumatology 204:condition characterized by 2297: 2157:Toxic epidermal necrolysis 2018:Delayed pressure urticaria 1486:Acta Dermato Venereologica 783:Bentham Science Publishers 2256:Necrolytic acral erythema 2147:Erythema multiforme major 2142:Erythema multiforme minor 1998: 1975: 1940: 1646:10.1007/s11882-017-0722-1 1102:10.1185/03007990802081543 967:Human Genome Organisation 957:"Symbol report for NLRP3" 746:Dermatology: 2-Volume Set 78:Exposure to cold stimulus 57: 48: 2281:Urticaria and angioedema 2152:Stevens–Johnson syndrome 2003:Dermatographic urticaria 792:10.2174/1568010053622957 656:10.7205/MILMED.173.2.217 556:Studies have found that 379:Cold weather, including 321:Scientists from the USA 2207:Erythema gyratum repens 1593:(inactive 2024-09-12). 1590:10.7556/jaoa.2001.20027 1148:10.2310/7750.2008.07050 476:The second-generation H 280:(Ilaris) is also used. 196:Familial cold urticaria 115:familial cold urticaria 1891:Urticaria and erythema 421: 339: 294: 227:It has been mapped to 2106:Hereditary angioedema 2023:Cholinergic urticaria 1967:Reflex cold urticaria 1499:10.2340/00015555-2150 1433:10.2340/00015555-2150 989:Sussman, Michael R.; 581:Cholinergic urticaria 419: 291: 233:Muckle–Wells syndrome 184:Reflex cold urticaria 87:(essentially meaning 2251:Generalized erythema 2058:Autoimmune urticaria 2053:Adrenergic urticaria 2008:Vibratory angioedema 826:. pp. 165–166. 537:). People with cold 178:Raynaud's phenomenon 2197:Erythema marginatum 2129:Erythema multiforme 2073:Schnitzler syndrome 2028:Aquagenic urticaria 1298:Concise Dermatology 1009:10.2210/pdb1Q44/pdb 680:Clin. Exp. Dermatol 587:Aquagenic urticaria 275:monoclonal antibody 250:/NALP3 (aka NLRP3) 242:FCAS is one of the 2068:Galvanic urticaria 2063:Exercise urticaria 2013:Pressure urticaria 1933:Physical urticaria 1916:Allergic urticaria 1031:Firestein, Gary S. 535:anaphylactic shock 422: 295: 284:Signs and symptoms 254:at location 1q44. 202:autosomal dominant 174:cryofibrinogenemia 134:anaphylactic shock 2268: 2267: 2264: 2263: 2184:Figurate erythema 2114: 2113: 2036: 2035: 1858: 1857: 1693:10.1159/000346284 1681:Case Rep Dermatol 1544:10.1111/all.12313 1390:978-3-030-84048-8 1307:978-1-000-33966-6 1090:Curr Med Res Opin 1033:(November 2004). 755:978-1-4160-2999-1 643:Military Medicine 522:(Periactin), and 387:in a supermarket. 364:Avoiding triggers 327:immune deficiency 267:immunosuppressant 82: 81: 30:Medical condition 16:(Redirected from 2288: 2236:Erythema toxicum 2202:Erythema migrans 2168:Erythema nodosum 2125: 1938: 1913: 1885: 1878: 1871: 1862: 1770: 1758: 1757: 1721: 1715: 1714: 1704: 1672: 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Genet 624:References 558:omalizumab 516:loratadine 514:(Zyrtec), 512:cetirizine 493:40 mg 482:rupatadine 355:Management 316:idiopathic 126:angioedema 123:pharyngeal 108:27 mm 89:cold hives 44:Cold hives 1898:Urticaria 1654:1529-7322 1640:(8): 51. 1508:0001-5555 785:: 77–80. 425:ice cream 348:allergist 342:Diagnosis 312:histamine 97:urticaria 64:Specialty 2275:Category 2223:erythema 2120:Erythema 1950:Familial 1802:L50.210) 1754:12051897 1746:17900265 1711:23341807 1662:28634900 1599:11409259 1583:: S1-4. 1552:24785199 1516:26038847 1442:26038847 1279:27406621 1271:18622198 1236:20069137 1195:16981288 1164:34516905 1156:18258152 1118:23371016 1110:18423104 1075:15541451 1049:Elsevier 1047:(9447). 883:11687797 824:Elsevier 820:Saunders 801:15720239 708:32159216 700:17355280 665:18333501 597:Erythema 592:Diascopy 570:See also 564:Ebastine 551:Twinject 508:Benadryl 502:such as 486:20  435:Swimming 429:iced tea 401:IV lines 263:anakinra 130:drowning 1907:chronic 1838:D056587 1726:Allergy 1702:3551415 1532:Allergy 1465:27 July 1066:4321997 1014:27 July 973:27 July 969:. 16400 914:27 July 874:4322000 547:Epi-pen 528:doxepin 302:test). 271:abdomen 190:welting 101:7  2221:Other 1827:120100 1752:  1744:  1709:  1699:  1660:  1652:  1597:  1575:(s5). 1550:  1514:  1506:  1440:  1387:  1344:  1304:  1277:  1269:  1234:  1193:  1162:  1154:  1116:  1108:  1073:  1063:  995:"1Q44" 881:  871:  830:  799:  752:  706:  698:  663:  545:(like 273:. 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Index

Familial cold autoinflammatory syndrome

Specialty
Dermatology
hives
mm
pharyngeal
angioedema
drowning
anaphylactic shock
wheals
wheals
cryoglobulinemia
cryofibrinogenemia
Raynaud's phenomenon
welting
autosomal dominant
rash
conjunctivitis
fever
chills
arthralgias
CIAS1
Muckle–Wells syndrome
NOMID
cryopyrin-associated periodic syndromes
CIAS1
gene
anakinra
immunosuppressant

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