The condition known as Cold-induced sweating syndrome or Crisponi syndrome is a rare disorder impacting the body’s ability to regulate temperature, with various physical abnormalities accompanying it. Interestingly, researchers have discovered that these two conditions are likely different manifestations of the same disorder occurring at different stages of life.
Distinctive facial features and muscle weakness are seen in infants with Crisponi syndrome, leading to difficulties with feeding and breathing. Additionally, they may exhibit skin rashes, hand and foot malformations, along with other physical abnormalities. By the age of six months, fevers appear, increasing the risk of seizures and sudden death.
As individuals affected by this syndrome age, they may evolve into cold-induced sweating syndrome, experiencing episodes of profuse sweating and shivering triggered by lower temperatures or stress. Adolescents might develop spinal curvature issues, but those who survive infancy generally have a normal life expectancy.
H2_A_Unique_Discovery
The prevalence of cold-induced sweating syndrome remains unknown and was initially observed in the Sardinian population. Most cases stem from mutations in the CRLF1 gene (CISS1), impacting the development of the nervous system and sweat regulation.
Significant Genetic Influences

Mutations in the genes CRLF1 and CLCF1 disrupt nerve cell development, leading to abnormal sweating and other symptoms. While these genes play a vital role in the nervous system’s operation, their functions in inflammatory response and bone development are not yet fully understood.
Inheritance and Genetics
Research suggests that the mutations in CRLF1 and CLCF1 are inherited in an autosomal recessive pattern, meaning that an individual must inherit two copies of the mutated gene (one from each parent) to display symptoms of the condition. Genetic counseling and testing can help identify carriers of these mutations and provide information on the likelihood of passing the condition to future generations.
Recent_Genetic_Insights
Cold-induced sweating syndrome is inherited in an autosomal recessive manner, where both copies of the CRLF1 or CLCF1 gene contain mutations. Usually, parents are carriers of the gene mutation without displaying any symptoms.
When cold sweats occur due to fear or stress, they may indicate underlying health issues. These cold sweats differ from regular sweating in their triggers and the body’s response to them.
Different_Likely_Causes
Cold sweats could signal general anxiety, hypoglycemia, heart attack, hormonal changes, pain, shock, infection, alcohol/drug withdrawal, or medication effects. Typically, they are accompanied by clammy skin and a sensation of coldness.
Excessive_Sweating_Not_Tied_to_Heat
Excessive sweating not related to hot temperatures is known as diaphoresis. Stress activating sweat glands is the mechanism behind cold sweats, a remnant of our fight or flight response that readies the body for challenges. Diaphoresis can also be caused by certain medical conditions such as hyperthyroidism, menopause, or infections. It is important to consult a healthcare provider if you are experiencing excessive sweating unrelated to heat to determine the underlying cause and explore potential treatment options.
Various_Possible_Triggers
Anxiety ranks high as a significant cause of cold sweats. Additionally, low blood sugar levels, heart attacks, hormonal imbalances, and other health conditions can lead to cold sweats.
Long-term_Health_Effects_of_Anxiety
Due to the body’s stress response, individuals with anxiety disorders can experience cold sweats, potentially leading to long-term health consequences.
Hypoglycemia_and_Cold_Sweats
Cold sweats may be triggered by hypoglycemia, especially in individuals with significantly low blood sugar levels, such as those with diabetes.
Identifying_Heart_Attack_Symptoms
Manifesting as symptoms like chest pain and shortness of breath, cold sweats can indicate a heart attack. Urgent medical attention is essential.
Hormonal_Imbalances_and_Cold_Sweats
Fluctuations in hormones, common in conditions like menopause, pregnancy, or thyroid disorders, can contribute to cold sweats and related symptoms such as hot flashes.
Understanding_the_Link_Between_Shock_and_Cold_Sweats
Intense pain from accidents or injuries often leads to cold sweats, potentially signaling shock. Seek medical assistance promptly if low blood pressure and a high heart rate accompany the cold sweats.
Infections like tuberculosis and HIV can prompt cold, clammy skin due to the body’s immune response. Certain infections causing fevers can lead to excessive sweating, with tuberculosis often resulting in night sweats. Additionally, sepsis can induce shock and cold sweats. Withdrawal from substances like alcohol or drugs can lead to cold sweats and flu-like symptoms. Medications such as antidepressants and pain relievers might also trigger cold sweats.
Night sweats or sleep hyperhidrosis could suggest underlying medical conditions such as sleep apnea or GERD. Some cancers can also instigate nightly cold sweats, with night sweats covering the whole body, while cold sweats tend to be more localized.
No specific treatment exists for cold sweats; addressing the root cause is crucial. Managing stress through practices like meditation and yoga, maintaining a healthy weight, and staying hydrated can aid in managing cold sweats. Certain dietary adjustments and antiperspirant use may also prove beneficial. Consult a healthcare provider to adjust medication or address hormone imbalances.
If consistent cold sweats persist, seeking medical evaluation is advisable. Explore potential causes, ranging from fevers to medication effects. Contact specialists to address cold sweats and ensure overall well-being. Given that cold sweats may indicate underlying health issues, seeking medical advice proactively is recommended.
Unique_Advice
According to Dr. Wood, some individuals excessively sweat irrespective of the temperature, a condition known as ‘primary focal hyperhidrosis,’ commonly affecting the underarms, palms, and soles of the feet. If this sweating starts before the age of 25, ceases during sleep, and presents without other symptoms, patients can find reassurance in this information.
It is important to note that primary focal hyperhidrosis is not caused by an underlying medical condition and is not a result of poor hygiene. While it can be embarrassing and inconvenient, there are treatment options available to help manage excessive sweating, such as prescription antiperspirants, iontophoresis, Botox injections, and even surgical procedures in severe cases.
Potential_Trigger_CAuses
A common reason for cold sweats is contracting the flu or a severe cold with accompanying fever and chills.
Cold sweats might occur when sick with a fever and using medications like acetaminophen.
Fluctuations in body temperature due to fevers are often responsible for cold sweats.
Menopausal_Factors
Menopausal hot flashes can contribute to excessive sweating, impacting women between their mid-30s and early 60s.
Some studies propose that a drop in body temperature post hot flashes may incite cold sweats.
Medication_Influence
Cold sweats can be a side effect of numerous medications, including over-the-counter supplements.
Research indicates that certain medications can lead to cold sweats or excessive sweating.
Diverse medications like antidepressants and hypoglycemic agents have been associated with cold sweats.
Certain medications, such as opioids and antipyretics, may also contribute to cold sweats as a side effect.
It is important to consult with a healthcare provider if you experience cold sweats while taking medication, as they may be able to adjust your dosage or switch to a different medication to alleviate this symptom.
Stress_and_Anxiety_Connection
Stress and anxiety can manifest in various physical symptoms, including cold sweats. When we experience stress or anxiety, our body’s fight-or-flight response can be activated, leading to an increase in sweat production. This physiological response is meant to help us cope with perceived threats or dangers.
In addition to cold sweats, stress and anxiety can also contribute to other symptoms such as rapid heartbeat, trembling, and shortness of breath. It’s important to be aware of these signs and seek support if you are struggling to manage your stress levels.
Managing stress and anxiety can involve various techniques such as mindfulness practices, exercise, and relaxation techniques. It’s also essential to prioritize self-care and seek professional help if you are finding it difficult to cope on your own.
Blood_Sugar_Levels_and_Cold_Sweats
Low blood sugar levels can induce cold sweats. Diabetes can impact the body’s temperature regulation.
If diabetic and experiencing cold sweats, monitor blood sugar levels and seek medical assistance as needed.
Night_Sweats_and_Sleep_Disorders
Night sweats might be linked to sleep disorders like obstructive sleep apnea.
Persistent night sweats could hint towards sleep apnea.
Obstructive sleep apnea is a common sleep disorder characterized by pauses in breathing or shallow breathing during sleep. These pauses can lead to night sweats as the body works harder to take in oxygen. Other symptoms of sleep apnea include snoring, daytime sleepiness, and difficulty concentrating.
If you experience night sweats along with other symptoms of sleep apnea, it’s important to consult with a healthcare provider for proper diagnosis and treatment. Treatment options for sleep apnea may include lifestyle changes, continuous positive airway pressure (CPAP) therapy, or surgery in some cases.
Infections_and_Autoimmune_Response
Infections, whether autoimmune or bacterial, have the potential to cause cold sweats.
Infections such as tuberculosis, HIV, COVID, and pneumonia could lead to cold sweats.
In autoimmune responses, the body’s immune system mistakenly attacks healthy cells, leading to inflammation and other symptoms. This can also result in cold sweats as the body tries to fight off the perceived threat.
It’s important to seek medical attention if you experience persistent cold sweats, as they could be a sign of a serious infection or autoimmune disorder.
Thyroid_Link_to_Excessive_Sweating
Thyroid problems, particularly hyperthyroidism, might result in total body sweating.
Thyroid hormones released in the skin could correlate with cold sweats in hyperthyroidism.
Cancerous_Potential

Cold sweats might serve as a symptom of several cancers such as lymphoma and leukemia.
Tumors like mesothelioma and bone cancer associated with cancers may trigger excessive sweating.
In addition to cold sweats, other common symptoms of cancer can include unexplained weight loss, persistent fatigue, and changes in bowel or bladder habits. It is important to consult with a healthcare professional if you experience any of these symptoms, as early detection and treatment play a crucial role in improving outcomes for cancer patients.
Sign_of_a_Heart_Attack
Cold sweats can indicate a heart attack, especially when presenting alongside other symptoms.
When_to_Seek_Medical_Care
If experiencing persistent cold sweats, consulting a doctor is advisable.
Cold sweats could point towards a severe condition, though they often pose no harm.
Tailored_Treatment_Approaches
The treatment for cold sweats varies depending on the underlying cause.
Multiple treatment options are available based on the specific condition triggering cold sweats.
Managing Fever-Induced Cold Sweats
Utilizing over-the-counter fever reducers can provide temporary relief if cold sweats are linked to a fever.
Discuss with your doctor to rule out underlying conditions.
In addition to taking over-the-counter fever reducers, it is important to stay hydrated and get plenty of rest. Cold sweats can be your body’s way of trying to regulate its temperature, so it’s important to listen to your body and take care of yourself. If cold sweats persist or are accompanied by other concerning symptoms, it’s important to seek medical attention promptly.
Preventing_Cold_Sweats
- Opt for light, breathable clothing
- Adopt a well-balanced diet
Adjusting regular medications may be necessary, but it’s advisable to consult a physician before making changes, following advice from Dr. Ascher.
Seeking_Medical_Assistance
If prolonged cold sweats persist, excluding flu or COVID-19, consulting a healthcare provider is recommended.
Immediate medical attention becomes necessary if cold sweats occur alongside chest pain, breathing difficulties, dizziness, or feelings of faintness, as emphasized by Ricciardi.
Considering that unexplained cold sweats warrant medical attention, be proactive in seeking a comprehensive evaluation.