HCV infection is highly prevalent in patients with CryoVas and mixed cryoglobulins are present in 25-45% of patients with HCV [4,5]. A minority of patients with HCV and mixed cryoglobulins exhibit symptomatic CryoVas, which is present in approximately 10-35% of patients who are HCV-positive and cryoglobulin-positive [4,5]. CryoVas has a variety of clinical features, which range from rare to highly prevalent, affecting mainly the skin, joints, peripheral nervous system and kidneys (Table 1). Symptoms are often initially mild, with fatigue, palpable purpura and arthralgia as the most common symptoms [6]. The disease may progress to more severe symptoms, including life-threatening widespread vasculitis with glomerulonephritis, or central nervous system, heart