Thursday, August 06, 2009

Childhood illness can “wake up” as adult version - WellWomen - Thursday, August 06, 2009Childhood illness can “wake up” as adult version

"Chicken pox is a children’s illness. Adults can’t get that.”

This statement is actually only partially true. The same virus that is responsible for chicken pox is also the cause of the adult illness shingles.

Causes, risk factors and symptoms
Shingles is caused by reactivation of the varicella-zoster virus. If you have had chicken pox infection or vaccine, the virus (varicella) remains in a dormant state in your body. The virus “wakes up” in approximately one out of five people, often many years after the initial chicken pox infection. It is estimated that about 1 million cases of shingles occur per year in the United States.

 “The possibility of shingles increases dramatically in adults over the age of 50,” said Abroo Nawaz, M.D., of WellSpan’s Adams County Internal Medicine. “Generally the risk is greater for females and those of African-American descent.”

What causes the virus to “wake up” is not exactly known although certain conditions may contribute to the virus reactivation. “The factors that may predispose one to reactivation of the virus are things that create a low immunity status,” said Nawaz.

These factors include:  stress, fatigue, or a weakened immune system due to age, disease, or medications that decrease one’s ability to keep the chickenpox virus in an inactive state. Diseases, such as cancer and HIV/AIDS, and their treatments can also leave a person’s immune system unable to keep the virus dormant.

The onset of shingles is somewhat different than chicken pox. An extreme sensitivity or pain across a broad area on one side of the body is often the first symptom. This sensation can be itching, tingling, burning, constant aching, or a deep, shooting pain.
In most cases, a rash with raised, red bumps and blisters surfaces in the same area of the pain one to three days after the pain starts. The rash and blisters can disappear in two to three weeks, but some people develop post herpetic neuralgia which means the pain remains even after the rash is gone.

Treatment and prevention
For treatment of shingles to be most effective, you should receive antiviral medication within 72 hours of the development of a shingles rash. The illness can be cured but must run its course.

Prevention of shingles is difficult, since the factors that trigger reactivation are not yet completely defined. However, in May 2006 the U.S. Food and Drug Administration approved Zostavax®, the first vaccine for adult shingles.

The U.S. Centers for Disease Control and Prevention (CDC) recommends that most adults age 60 and older who have had the chicken pox infection or vaccine receive the Zostavax vaccination. For some people the vaccine is not appropriate.

How WellSpan Can Help

WellSpan Pharmacy administers Zostavax®, the vaccine that prevents shingles, at the following locations:

Apple Hill Medical Center
25 Monument Rd., Suite 265
York

WellSpan Adams Health Center
40 V-Twin Drive, Suite 107
Gettysburg

Dallastown Family Medicine
755 S. Pleasant Ave. Dallastown

Fairfield Pharmacy,
Fairfield Towne Center,
4910 Fairfield Rd.
Fairfield

The vaccination, administered on Wednesdays, is given in a private setting by a pharmacist specially trained to dispense and administer vaccinations.

3 Easy Steps to Get the Vaccine:
  1. Contact your physician or health care provider.
  2. If you and your physician agree that you should receive the vaccine, please call WellSpan HealthSource at (717) 851-3500 or (800) 840-5905 to schedule an appointment.
    • Please have your insurance information available when you call
    • Once registered, you will receive confirmation and vaccine information via mail.
  3. A prescription is required for the Zostavax®. WellSpan will contact your physician one week before your appointment to obtain your prescription. Also, a pharmacist will contact you before your appointment to discuss any questions you may have about the vaccine.

For more information about the Zostavax® vaccine, please call WellSpan Pharmacy (717) 851-1351 in York or (717) 339-2600 in Gettysburg.




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