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Dr. Slavica Vukovic | Specialist Internal Medicine

Chickenpox, once a common childhood illness, is now far less frequent thanks to vaccinations — but it still appears in communities, especially among unvaccinated individuals. This itchy, blistering viral infection may seem harmless to some, but in certain cases, it can lead to serious complications. Here’s everything you need to know to recognize, manage, and prevent chickenpox.

Introduction:

Chickenpox is a highly contagious viral infection caused by the Varicella Zoster virus. It primarily spreads through the respiratory tract and is known for its hallmark itchy rash and fluid-filled blisters. While most people recover in about 5–10 days, it can cause severe illness in high-risk individuals.

Who’s at Higher Risk?

While anyone can get chickenpox, some groups are more vulnerable to complications:

  • Pregnant women
  • Newborns
  • Elderly individuals
  • Immunocompromised patients (e.g., those with cancer, HIV, or on immune-suppressing medications)

Common Symptoms of Chickenpox

Chickenpox

Early symptoms often mimic a mild cold, but they quickly progress to noticeable skin changes. Here’s what to look for:

  • Low-grade fever
  • Fatigue and headache
  • An itchy, red rash that develops into blisters
  • Milky fluid-filled bumps
  • Blisters that eventually scab over
  • Patchy, blotchy skin appearance
  • Crusty spots that fade away

The Three Stages of Chickenpox Rash

  1. Red, Bumpy Rash – Appears first and can last a couple of days.
  2. Blister Stage – Blisters filled with fluid break open after 1–2 days.
  3. Scabbing Stage – Blisters dry out and form scabs, which eventually fall off.

Mode of Transmission:

Chickenpox spreads very easily through:

  • Airborne droplets (from sneezing or coughing)
  • Direct contact with the rash or blisters
  • Touching contaminated surfaces and then touching your face

If someone in your household has chickenpox, isolation and hygiene are essential to prevent spread.

Incubation Period

After exposure, symptoms typically appear between 10 to 21 days. A person becomes contagious 1–2 days before the rash appears and remains contagious until all blisters have crusted over.

When to See a Doctor

Chickenpox

Consult a doctor immediately if you notice:

  • Redness, swelling, or pus in the rash (possible bacterial infection)
  • Severe cough, vomiting, or high fever (over 38.9°C / 102°F)
  • Rapid heartbeat, confusion, or neck stiffness (signs of complications)

Lifestyle Modifications and Home Remedies

You can follow self-care measures at home to relieve chickenpox symptoms:

  • Avoid scratching to prevent scarring or infection
  • Keep fingernails trimmed short
  • Use calamine lotion or oatmeal baths to soothe the skin
  • Stay hydrated and rest

Can Chickenpox Be Prevented?

Yes, absolutely! The Varicella vaccine is safe and effective.

  • First dose: at 12 months of age
  • Second dose: between 5–6 years of age

Conclusion

Chickenpox may be common, but it should never be taken lightly — especially for those at higher risk. With awareness, proper care, and vaccination, chickenpox is a preventable and manageable illness.

If you or a loved one show symptoms or fall into a high-risk group, don’t hesitate to consult your healthcare provider.

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