Chicken pox is a common childhood illness. Fever and cold symptoms are often the first signs of illness and are followed by the appearance of the typical rash. The rash starts as small pink bumps, often around the neck, ears, back and stomach. These develop a little water blister, which in turn becomes yellow and oozy and ultimately crusty as it dries. The rash spreads outwards to involve the whole body finally involving the lower arms and legs. People may have only a few spots or may be virtually covered with them. In children it is usually a relatively mild illness however occasionally complications develop. The incidence of complication is much higher in infected adults. Chicken pox can be a very severe illness in people with weakened Immunity.
Chicken pox can be a devastating Infection In people with a seriously weakened Immune system (e.g. patients with leukaemia or after organ transplantation). In adults, chicken pox is a much more significant illness than in children and there is a greater risk of complications developing. There is a medicine available (Acyclovir) which if taken early in the illness can shorten the illness. Chicken pox infection in women who are in the early stages of pregnancy can result in congenital abnormalities in the Infant.
If your child is normally healthy, Chicken pox is likely to be a relatively mild illness and no specific precautions are necessary. Symptoms usually develop 8 to 21 days after exposure. The Infected person can spread Infection for up to 3 days before the rash appears and until the last pox is crusted and dry.
If your child has a weakened immune system, please contact your Doctor and let them know that they may have been exposed. There is an antibody preparation (V-ZIG) that can be given to prevent illness, but it must be given within 72 hours of exposure, so contact your Doctor promptly. There is a specific medicine to treat Chicken Pox, but it is usually only given it there is a significant risk of complications developing.
Contact your doctor and arrange for him/her to see the child and confirm the diagnosis. Do not bring the child to the crowded surgery waiting room, as this will just spread the Infection further. Do not use Aspirin or any products that contain aspirin to control fever if your child has chickenpox, as this has been associated with the development of a rare but serious disease called Reye's syndrome.
Many children with Chicken pox are too sick to attend school and are more comfortable at home. Children can spread the infection to others as long as there are any spots, which are not crusted and dried. Children with spots that are crusted and dried can safely attend school.