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Chickenpox is highly contagious and is spread through the air when infected people cough or sneeze, or through physical contact with fluid from lesions on the skin. [[Herpes zoster|Zoster]], also known as shingles, is a reactivation of chickenpox and may also be a source of the virus for susceptible children and adults. It is not necessary to have physical contact with the infected person for the disease to spread. Those infected can spread chickenpox before they know they have the disease - even before any rash develops. People with chickenpox, in fact, can infect others from about two days before the rash develops until all the sores have crusted over, usually four or five days after the rash starts.
Chickenpox is highly contagious and is spread through the air when infected people cough or sneeze, or through physical contact with fluid from lesions on the skin. [[Herpes zoster|Zoster]], also known as shingles, is a reactivation of chickenpox and may also be a source of the virus for susceptible children and adults. It is not necessary to have physical contact with the infected person for the disease to spread. Those infected can spread chickenpox before they know they have the disease - even before any rash develops. People with chickenpox, in fact, can infect others from about two days before the rash develops until all the sores have crusted over, usually four or five days after the rash starts.
===Infection in Pregnancy and Neonates===
Varicella infection in pregnant women can lead to viral transmission via the placenta and infection of the foetus. If infection occurs during the first 28 weeks of gestation, this can lead to foetal varicella syndrome (also known as congenital varicella syndrome). Effects on the foetus can range in severity from underdeveloped toes and fingers to severe anal and bladder malformation. Possible problems include:
* Damage to brain: [[encephalitis]], [[microcephaly]], [[hydrocephaly]], [[aplasia]] of brain
* Damage to the eye (optic stalk, optic cap, and lens vesicles), [[microphthalmia]], [[cataracts]], [[chorioretinitis]], [[optic atrophy]]
* Other neurological disorder: damage to cervical and lumbosacral [[spinal cord]], motor/sensory deficits, absent deep [[tendon reflex]]es, anisocoria/[[Horner's syndrome]]
* Damage to body: [[hypoplasia]] of upper/lower extremities, anal and bladder [[sphincter]] dysfunction
* Skin disorders: ([[cicatricial]]) skin lesions, [[hypopigmentation]]
Infection late in gestation or immediately post-partum is referred to as neonatal varicella. Maternal infection is associated with premature delivery.  The risk of the baby developing the disease is greatest following exposure to infection in the period 7 days prior to delivery and up to 7 days post-partum. The nenoate may also be exposed to the virus via infectious siblings or other contacts, but this is of less concern if the mother is immune. Newborns who develop symptoms are at a high risk of pneumonia and other serious complications of the disease. <ref name="pregnancy">{{cite web | author=Royal College of Obstetricians and Gynaecologists | title=Chickenpox in Pregnancy | url=http://www.rcog.org.uk/resources/Public/pdf/greentop13_chickenpox0907.pdf | date=September 2007 | accessdate=2008-04-12}}</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 15:24, 29 August 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Symptoms

Chickenpox is a highly contagious disease that spreads from person to person by direct contact or through the air from an infected person's coughing or sneezing. It starts with conjunctival and catarrhal symptoms and then characteristic spots appearing in two or three waves, mainly on the body and head rather than the hands and becoming itchy raw pox (pocks), small open sores which heal mostly without scarring. Touching the fluid from a chickenpox blister can also spread the disease. A person with chickenpox is contagious from one to two days before the rash appears until all blisters have formed scabs. This may take 5-10 days.[1] It takes from 10-21 days after contact with an infected person for someone to develop chickenpox.[2]

The chickenpox lesions (blisters) start as a two to four millimeter red papule which develops an irregular outline (a rose petal). A thin-walled, clear vesicle (dew drop) develops on top of the area of redness. This "dew drop on a rose petal" lesion is very characteristic for chickenpox. After about eight to 12 hours the fluid in the vesicle gets cloudy and the vesicle breaks leaving a crust. The fluid is highly contagious, but once the lesion crusts over, it is not considered contagious. The crust usually falls off after seven days sometimes leaving a crater-like scar. Although one lesion goes through this complete cycle in about seven days, another hallmark of chickenpox is the fact that new lesions crop up every day for several days. Therefore it may be a week before new lesions stop appearing and existing lesions crust over. Children are not to be sent back to school until all lesions have crusted over.[3]

Chickenpox is highly contagious and is spread through the air when infected people cough or sneeze, or through physical contact with fluid from lesions on the skin. Zoster, also known as shingles, is a reactivation of chickenpox and may also be a source of the virus for susceptible children and adults. It is not necessary to have physical contact with the infected person for the disease to spread. Those infected can spread chickenpox before they know they have the disease - even before any rash develops. People with chickenpox, in fact, can infect others from about two days before the rash develops until all the sores have crusted over, usually four or five days after the rash starts.

References

  1. New Zealand Dermatological Society (14 Jan 2006). "Chickenpox (varicella)". Retrieved 2006-08-18.
  2. "General questions about the disease". Varicella Disease (Chickenpox). CDCP. December 2 2001. Retrieved 2006-08-18. Check date values in: |date= (help)
  3. Heather Brannon (December 25, 2005). "Chicken Pox - Varicella Virus Infection". Retrieved 2006-08-18.