Elite Rheumatology and Arthritis Center, operates under the legal business name Sunshine Specialty Healthcare LLC
Operates under the legal business name Sunshine Specialty Healthcare LLC
Cryoglobulinemia

Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name
Sunshine Specialty Healthcare LLC”.
What is Cryoglobulinemia?
Cryoglobulinemia is a rare immune-related disorder in which abnormal blood proteins, known as cryoglobulins, become solid or clump together when exposed to cold temperatures. These protein clusters can restrict blood flow, leading to inflammation of blood vessels (vasculitis) and damage to organs such as the skin, joints, nerves, and kidneys.
Types of Cryoglobulinemia
Cryoglobulinemia is classified into three main types based on the nature of the abnormal proteins and the underlying cause:
Type I Cryoglobulinemia
This form is usually associated with blood-related cancers such as multiple myeloma or Waldenström’s macroglobulinemia. Symptoms are often related to blood vessel blockage.
Type II and Type III (Mixed Cryoglobulinemia)
These types are more common and frequently linked to chronic infections like hepatitis C, autoimmune diseases such as Lupus or Sjögren’s syndrome, or long-standing inflammation. Mixed forms often cause cryoglobulinemic vasculitis, which requires specialized cryoglobulinemic vasculitis treatment.
Common Symptoms of Cryoglobulinemia
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Skin: Purplish rash (palpable purpura), especially on the legs; painful skin ulcers; Raynaud’s phenomenon (fingers or toes turning white or blue in cold)
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Joints & Muscles: Joint pain, stiffness, or swelling; symptoms may overlap with rheumatoid arthritis–related joint pain
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Nerves: Tingling, numbness, burning sensations, or weakness in hands and feet
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Kidneys: Blood or protein in urine, leg swelling, and high blood pressure
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General: Persistent fatigue, fever, and unintentional weight loss
What Causes Cryoglobulinemia?
Cryoglobulinemia may develop due to several underlying conditions, including:
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Chronic viral infections, especially hepatitis C
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Autoimmune disorders such as rheumatoid arthritis or lupus
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Blood and lymphatic cancers
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Idiopathic causes, where no clear source is identified
Patients with autoimmune disease may require coordinated care that includes rheumatoid arthritis joint pain treatment along with targeted immune therapy.
How Is Cryoglobulinemia Diagnosed?
Diagnosis involves a combination of clinical evaluation and specialized testing:
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Blood tests to detect cryoglobulins and markers of inflammation
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Urine tests to assess kidney involvement
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Skin or kidney biopsy in cases of suspected vasculitis
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Imaging or nerve conduction studies based on symptoms
Accurate diagnosis is critical for selecting the appropriate cryoglobulinemic vasculitis treatment and long-term care plan.
Cryoglobulinemia Treatment in Orlando
Treatment depends on the underlying cause, disease severity, and organs involved. A comprehensive Cryoglobulinemia treatment in Orlando plan may include:
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Treating the root cause (antiviral therapy for hepatitis C or targeted cancer treatment)
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Immunosuppressive medications to control immune system activity
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Corticosteroids to reduce inflammation
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Advanced cryoglobulinemic vasculitis treatment for patients with blood vessel involvement
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Plasmapheresis in severe cases to remove cryoglobulins from the bloodstream
Patients with overlapping autoimmune conditions may also benefit from integrated rheumatoid arthritis joint pain treatment to manage joint inflammation and discomfort.
When to Call Your Doctor
Contact your healthcare provider if you experience:
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New or worsening skin rashes or ulcers
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Tingling, numbness, or weakness in the limbs
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Persistent joint pain requiring rheumatoid arthritis joint pain treatment
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Swelling, changes in urine, or unexplained fatigue
Early evaluation allows timely adjustment of cryoglobulinemic vasculitis treatment and reduces the risk of serious complications.
Frequently Asked Questions
1. Where can I find specialized Cryoglobulinemia treatment in Orlando?
Elite Rheumatology and Arthritis Center is a leading provider of Cryoglobulinemia treatment in Orlando. Under the guidance of Dr. Sumalatha Nandikonda, we offer a "one-stop" approach including in-house lab draws, specialized diagnosis, and advanced biologic therapies in our private infusion house.
2. How do I know if my joint pain is from Cryoglobulinemia or Rheumatoid Arthritis?
While both cause significant discomfort, rheumatoid arthritis joint pain treatment focuses on chronic synovial inflammation, whereas Cryoglobulinemia pain is often triggered or worsened by cold exposure and accompanied by a purple skin rash. Our team uses specific blood tests to distinguish between these two and provide the correct rheumatoid arthritis joint pain treatment or vasculitis care.
3. What is the most effective cryoglobulinemic vasculitis treatment available today?
For mixed cryoglobulinemia (Types II and III), biologic therapies like Rituximab are often considered the gold standard. These treatments are administered via IV in our Orlando office to reduce the production of cryoglobulins. For acute flares, high-dose steroids and plasmapheresis (plasma exchange) may be used to quickly clear the blood.
4. Can I get a fast diagnosis for Cryoglobulinemia in Central Florida?
Yes. Because we offer in-house lab draws and have a deep expertise in rare vasculitis, we provide one of the fastest rheumatology appointments and diagnostic turnarounds in the region. Proper handling of the blood at body temperature is vital, and our clinical staff is specifically trained in these protocols.
5. Are biologic therapies safe for treating cryoglobulinemic vasculitis?
Biologic therapies are highly targeted and generally well-tolerated. Before starting treatment in our infusion house, Dr. Nandikonda performs a thorough health screening to ensure the therapy is safe for you. These medications are essential for stopping the progression of cryoglobulinemic vasculitis treatment and protecting vital organs like the kidneys.
For more information or to schedule an appointment, contact us
Dr. Sumalatha Nandikonda brings extensive experience in treating a wide range of rheumatologic conditions. At Elite Rheumatology and Arthritis Center, we are committed to delivering comprehensive, compassionate care tailored to each patient’s needs.
For educational purposes, we have listed a few of the common conditions we treat on our website.If you don’t see your condition listed, please contact us directly—we’re happy to discuss how we can help.
Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC.
Dr. Nandikonda brings a wealth of clinical experience, having worked as a hospitalist for eight years, followed by three years in a rheumatology clinic. To further enhance her expertise, she pursued a two-year fellowship under Top rheumatologists in Orlando, Florida. After completing her advanced training, Dr. Nandikonda founded Elite Rheumatology and Arthritis Center with the mission of providing high-quality, compassionate rheumatologic care to the Orlando and Central Florida community.”

