Severely itchy pustules are the main hallmark of chickenpox. Children in particular are infected. Vaccination makes sense because chickenpox is highly contagious – and very dangerous for some.
Chickenpox often starts on the face
Chickenpox is common worldwide. They are caused by the varicella-zoster virus (VZV), a herpes virus, and are transmitted by droplet infection. This means that the viruses are passed on when we sneeze, cough or speak because they are in the air we breathe. Chickenpox is extremely contagious.
The best protection is vaccination. This has reduced the number of cases worldwide. For example, in Germany in 2004 around 750,000 children and adults contracted chickenpox. In 2017, only 22,200 cases were registered.
What is the course of chickenpox?
The first symptoms that indicate a possible infection with chickenpox are headaches, body aches and fatigue. Some also have an elevated temperature.
The typical itchy rash develops later. This shows up as small red spots and nodules that eventually become blisters filled with fluid. In the beginning this is still clear, but it is becoming increasingly cloudy. The rash usually appears on the face first and then moves to the back and stomach, but can also spread over the entire body as it progresses.
After a few days, scabs form on the individual blisters, which fall off by themselves after a short time. It makes sense to wait and see. Scratching the blisters, which are very itchy, is not a good idea as it can result in infection and scarring. Chickenpox, while uncomfortable, is extremely rare in otherwise healthy children.
In children chickenpox usually heals within two weeks. Adults, on the other hand, often have a more severe course of the disease, which also lasts longer.
Mostly the symptoms are accompanied treated with creams
How is chickenpox treated?
There is no specific medication for chickenpox. The only way to alleviate the effects of the condition a little is to use ointments to counteract the severe itching. Moist compresses can be applied to cool the body a little and thus at least temporarily reduce the itching. In small children the fingernails should be kept short so that they do not scratch the skin and become infected.
< h2>Who is particularly at risk?
Children between the ages of two and ten are infected with chickenpox. But babies can also get chickenpox.
Most adults are immune to chickenpox because they have previously been infected with the virus or have been vaccinated against the virus. If pregnant women do not meet these requirements and they get caught, it can be quite dangerous for the unborn child. It is particularly risky if the expectant mother becomes infected during the first 24 weeks of her pregnancy. Then a miscarriage can occur or the unborn child can suffer various damages. This is the case with the so-called varicella syndrome (CVS), which can lead to malformations of the limbs or, in the worst case, to brain damage.
After the 24th week of pregnancy, there are no longer any effects to be feared in the event of an infection. It only becomes critical again shortly before birth. If the pregnant woman falls ill during this time, the baby is also infected in a quarter of the cases. Women who want to have a child and are planning accordingly should be vaccinated about three months in advance.
How can you prevent it?
Of course, the most sensible solution is vaccination during childhood protects against infection.
The chickenpox virus is insidious, because after the infection has been overcome, it continues to lie dormant in the body, even after the chickenpox has healed.
You are then against chickenpox immune, but not against the dreaded, because painful shingles, which is triggered by herpes zoster. This is a so-called endogenous recurrence, a new infection. This can occur after many years or decades. The course is much more dramatic than chickenpox. But you can still get vaccinated against shingles at a later age.