Cryoglobulinaemic vasculitis (CryoVas): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cryoglobulinaemic vasculitis (CryoVas): clinical features. Meltzer’s triad, Fatigue, Raynaud's phenomenon. Fully referenced neurology checklist.

Systemic features

  • Meltzer’s triad
  • Fatigue
  • Raynaud's phenomenon
  • Acrocyanosis
  • Gangrene 
  • Cold-induced urticaria
  • Livedo reticularis

Renal features

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Gastrointestinal features

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Neurological features: central

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Neurological features: peripheral

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Respiratory features

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Cardiac features

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Dermatological features

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Endocrine features

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Other features

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Differential diagnosis

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Complications

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References

  1. Retamozo S, Díaz-Lagares C, Bosch X, et al. Life-threatening cryoglobulinemic patients with hepatitis C: clinical description and outcome of 279 patients. Medicine (Baltimore) 2013; 92:273-284.
  2. German A, Grotemeyer A, Rothhammer V, Doerfler A, Winkler J, Regensburger M. Pearls & Oy-sters: Reversible leukoencephalopathy and Parkinsonism due to CNS involvement in cryoglobulinemia. Neurology 2026; 106:e214622.
  3. Feldman L, Dhamne M, Li Y. Neurologic manifestations associated with cryoglobulinemia: A single center experience. J Neurol Sci 2019; 398:121-127.
  4. Thaunat O, Aaron L, Desbene C, et al. Type III cryoglobulinemia complicated by renal cortical necrosis. Am J Kidney Dis 2005; 45:e79-e81.
  5. Feldman L, Dhamne M, Li Y. Neurologic manifestations associated with cryoglobulinemia: a single center experience. J Neurol Sci 2019; 398:121-127.
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