The Leukemia & Lymphoma Society - Fighting Blood Cancers
6 Replies Last post: Oct 26, 2009 2:27 PM by Tex  
867-5309   25 posts since
Jul 16, 2009
Currently Being Moderated

Oct 23, 2009 2:33 PM

Immunity?

Can you lose your immunity to things such as the chicken pox etc... after chemo treatments? For example, if the chemo left you neutropenic, with no white blood cells, for weeks (and you had multiple rounds of chemo leaving you in that state), do you lose the immunity you had for things like chicken pox or other illness you were vaxed for as a child (measles, mumps etc...)?

Tex   3,897 posts since
Apr 3, 2009
Currently Being Moderated
1. Oct 24, 2009 2:26 PM in response to: 867-5309
Re: Immunity?

I've only heard of this being an issues for people who've had allogenic transplants.  I don't know about autologenous transplant.  The marrow is completely destroyed and the donor's immun system become yours.  But the vaccinations don't transfer with the donation.

 

I don't think it's an issue for regular blood cancer patients who make it with standard treatments.

 

Blessings

Elke'smom   208 posts since
Apr 4, 2009
Currently Being Moderated
2. Oct 24, 2009 2:39 PM in response to: 867-5309
Re: Immunity?

This actually has been an issue for a number of children with ALL (my daughter has ALL) who just received regular chemo, and didn't go the BMT route.  Many drs have voiced the opinion that only transplants raise the concern of erasing prior immunities, but this has proven not to be the case, at least in children with ALL.  Some still retain the immunities developed, while other had most -- including polio, chicken pox, measles -- wiped out.  They found this out by pushing to have their titers checked after a period of time OT.

 

So yes, it is possible.  I know a number of children with ALL who had to be revaccinated OT because they had lost almost all of their immunities, and they had not gone to transplant.  Drs have differed over whether to revaccinate completely, or just to give boosters where appropriate.  The only way to check is to check the titers when OT.

 

But there are a number of drs -- many from reputable places -- that do not believe this to be true.  The evidence proves otherwise, though.

 

Ann

Tex   3,897 posts since
Apr 3, 2009
Currently Being Moderated
3. Oct 25, 2009 1:04 PM in response to: Elke'smom
Re: Immunity?

Interesting.  Do you know if this happens with adults, though?

Elke'smom   208 posts since
Apr 4, 2009
Currently Being Moderated
4. Oct 25, 2009 3:42 PM in response to: Tex
Re: Immunity?

Tex,

 

I have no idea if this happens with adults (which is why I phrased my reply the way I did -- that I know that it happens in pediatric ALL cases).  Could there be a distinction between adults and children in this area?  Possibly.  But I thought it was pertinent to the query that I knew this happened in children sometimes.

 

Perhaps an adult's immunity is stronger after many years??  But I don't have a medical degree -- I'm just a momcologist....

 

It's an interesting issue.

 

Ann

Tex   3,897 posts since
Apr 3, 2009
Currently Being Moderated
6. Oct 26, 2009 2:27 PM in response to: Elke'smom
Re: Immunity?

Elke'smom wrote:

 

It's an interesting issue.

 

 

It is.  I figured your answer had focused on children because that's all you knew.  But I had to ask.

 

I'd never heard that there was even a disagreement.  Whenever I can stand outside the experience and look back in, this is a fascinating set of diseases.

 

Blessings

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