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Medical Forum / General / General / January 2008# of chicken pox lesions to establish immunity?????
A child who has never been vaccinated for chicken pox contracts the disease. Then, normally, the child acquires immunity and will not require vaccination. However... if the child displays fewer than X number of lesions, it indicates a mild case that does not create immunity, and vaccination is still required. The question is, what is this "X" number of lesions? My wife is a pediatric nurse practitioner and heard this some time back, and can't remember what it was or where it was from. Does anybody know, preferably with a cite? Please reply to the newsgroup. Thanks, Bill S. > A child who has never been vaccinated for chicken pox contracts the > disease. Then, normally, the child acquires immunity and will not > require vaccination. However... if the child displays fewer than X > number of lesions, it indicates a mild case that does not create > immunity, and vaccination is still required. Why don't you think that a mild case doesn't create immunity? If the body is able to defeat the virus, the kid is immune. Talk to your doctor. You can read about this at www.cdc.gov. > The question is, what is this "X" number of lesions? My wife is a > pediatric nurse practitioner and heard this some time back, and can't [quoted text clipped - 5 lines] > Thanks, > Bill S. Nothing on the cdc site about this. Please post the URL if you have it. Bill S. > bstev...@rock.com wrote: > > A child who has never been vaccinated for chicken pox contracts the [quoted text clipped - 20 lines] > > Thanks, > > Bill S. > Nothing on the cdc site about this. Please post the URL if you have > it. > > Bill S. Everything I've ever read says definitively that a child who recovers from clinical infection develops immunity. The only caveat I can think of is someone who develops a small number of lesions and mistakenly thinks he/she has had chickenpox. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Nothing on the cdc site about this. Please post the URL if you have >> it. [quoted text clipped - 5 lines] > can think of is someone who develops a small number of lesions and > mistakenly thinks he/she has had chickenpox. If the lesions were caused by the chickenpox virus, then he has had chicken pox and has immunity. If the lesions were caused by something else, then he hasn't. The doc can always test to see if there are antibodies to the virus in his blood. Jeff > Steve >>> Nothing on the cdc site about this. Please post the URL if you have >>> it. [quoted text clipped - 12 lines] > > Jeff That's good to know. Of course, not all antibody titers remain high; I received a BCG vaccination when I was about 13. 11 or so years later, when I entered my residency, the medical center insisted on doing a PPD on me. I protested, having been told I'd always test positive, but I got no reaction. Several years after getting my Hb series, I tested negative for both antigen and antibodies. While I've got your attention, are you recommending Gardasil vaccinations for your patients? There was a (ahem) lively discussion when it came out about why boys shouldn't get it; I have no answer why they shouldn't, except that it's the girls who are going to get the cervical cancer. Our pediatrician is recommending it, but not pushing hard. He was also cautious when the chickenpox vaccine came out; while we were waiting our daughter caught chickenpox--luckily a mild case. She is 11, BTW. Thanks, Steve >> Steve
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