I don't know, I have kept over 2 dozen of these fish in a hundred gallon tank (not at the same time) In my 100 gallon tank they reach 5". I have seen them in the sea where they will get to about 10" but they are stunted in a smaller tank. I also had a few for many years in a 40 gallon tank (when that size tank was considered huge) and they reached about 4".
As for ich not being fatal, I disagree with that. Ich is never fatal in the sea but in an enclosed tank with a schooling fish which will always be stressed it is many times fatal, I will even say, most times. If you have a tank that is prone to ich, this fish will get it first. On a scale of 1-10 I would give this fish a 5 as to resistance to succomb to ich or a variety of other maladys. This in my opinion
is because it is a schooling fish and never seen alone. You can view a school of tangs as one individual due to the fact that they all eat, swim and hide at the same time. They are lost in a tank and you can even see it if you look close at the fish, they are always looking for a place to hide as they are always looking for their school mates. They will live over ten years in a smaller tank as I have kept a few of them longer than that but they do suffer from HLLE most, but not all of the time. It may be caused by diet, stray currents, or a host of other things but in reality, no one knows. A lot of people have theories but none proved.
It may be a combination of diet, currents and stress as it does not occur in the sea.
I have stopped the disease a few times by feeding vitamin A or Cod Liver Oil but the fish many times remains scarred.
I feed this regularly to all my fish as fish were designed to eat whole fish which are loaded with vitamin A. Tangs, eat, along with algae, baby fish as baby fish are a staple diet on a reef.
These fish when captive never look anywhere near as beautiful as they appear in the sea. When they are in a school you rarely see a scale out of place, their eyes are clear and they don't hide nearly as quickly. They eat all day and they eat algae. Algae grows on all rocks on all healthy reefs, you don't see it because of these and other creatures that trim it very short.
As for quarintine, If you quarantine your fish as a rule, then you should quarantine this fish but not in a 10 gallon tank. They need a much longer tank with many hiding places.
They will almost always carry paracites.
And Jay, glad to meet you. I am happy you are here.
Have a great day.
Paul