The Monmouth County Health Department is investigating 22 cases probable cases of mumps in the county, 15 of which have come forward since yesterday, according to a statement issued by County Public Health Coordinator Michael Meddis. Twenty-one of the individuals are adults and most of them have been either a patron at or an employee of D’Jais in Belmar in the last several weeks. Individuals in Monmouth County are from Asbury Park, Belmar, Farmingdale, Howell (4), Keyport, Long Branch (3), Neptune City, Tinton Falls and Wall.
The Monmouth County Health Department asks that if you are experiencing the swelling of salivary glands along with fever, headache, muscle aches, tiredness and loss of appetite you should seek medical attention and call the Health Department at 732-431-7456.
Meddis added that the investigation is continuing as new cases are presented and to determine the source of transmission and identify close personal contacts. Most people with mumps fully recover after a few weeks.  While infected with mumps, many people feel tired and achy, have a fever, and may have swelling of the salivary glands on the side of the face. Those people who have received the MMR (measles, mumps, rubella) vaccine as infants and again between the ages of 4 and 6, are 9 times less likely to contract the virus than those who have not been vaccinated. When you have mumps, you should avoid close and prolonged contact with other people until at least 5 days after your glands begin to swell because you are contagious during this time.
Also remember that in any situation, keeping hands clean is one of the most important steps you can take to avoid getting sick and spreading germs to others. Acquired melanosis of the oral mucosa may be a manifestation of systemic disease, cancer or of a simple local disorder. The anterior pituitary gland releases melanocyte-stimulating hormone (MSH), which increases melanin production. The association of oral pigmentation with Addison’s disease (hypoadrenalism) is well recognized and may be the initial manifestation of adrenal insufficiency. Nelson syndrome is a rare condition caused by ACTH overproduction in response to surgical removal of one or both adrenal glands, usually for breast cancer.
ACTH-producing tumors may induce brown pigmentation, particularly of the soft palate, and may be an oral manifestation of a rare ACTH-producing neoplasm, such as bronchogenic carcinoma. Melanic pigmentation is an associated feature of some hyperkeratoses, giving the lesions a dusky or grayish hue, and less commonly of some other chronic inflammatory mucosal disease. Drug-induced melanic pigmentation of the oral mucosa is rare, but may be seen in some individuals taking various cytostatic agents and may also be produced by progestogens in oral contraceptives. Occasionally, individuals present with single, or less frequently multiple, pigmented macules of the oral mucosa which cannot be classified histologically into any of the recognized types of melanotic lesion and for which no local or systemic cause can be found.
Primary malignant melanoma of the oral mucosa is rare but may arise in apparently normal mucosa or in a pre-existent pigmented nevus, usually in the palate or upper gums. Kaposi sarcoma is caused by virus HHV-8, which is transmitted sexually, often as a co-infection with HIV. Oral pigmentation due to other endogenous substances is uncommon apart from transitory discoloration caused by blood breakdown products in a localized swelling filled with blood and the yellowish hue produced by bilirubin in individuals with jaundice. Pigmentation associated with disturbances of iron metabolism is seen in the rare disorder, hemochromatosis. Skin Problems Image Gallery Lack of sleep, lack of exercise and water retention can cause young people to get bags under their eyes. No one likes to look in the mirror and see bags under his eyes, but it's an experience just about everyone over the age of 20 is familiar with. One of the biggest reasons people get bags under their eyes is because their parents have them. For more information on conditions that affect the skin, check out the links on the next page. Some of the species of insects that are largest in number include flies, bees, beetles, moths, ants, butterflies and wasps. An insect bite or sting can result in many different symptoms and their appearance is dependent on a number of different factors. Most insect bites can cause the universal signs of pain, redness, swelling, and increased itching of the site affected by the insect bite.

Scratching of the affected area can result in breaking of the skin, which can increase the risk to secondary infection. The presence of an allergy towards insect bites and bee stings in the victims can result in severe allergic reactions known as anaphylaxis in them.
In rare cases, thousands of bee stings or insect bites from large hornets have reportedly led to kidney failure and breakdown of the muscles. Insects are generally harmless beings and most insect bites are caused when the insects are disturbed or provoked.
Fire ants, bees, hornets, wasps and yellow jackets are insects that belong to the Hymenoptera family. The insect bite of a bee leads to the complete loss of the stinger or the skin puncture apparatus and eventually results in the death of the bee. Other insects such as mosquitoes do not carry any poison and hence their bites are often quite harmless. When unhygienic conditions are prevalent then the common housefly can cause havoc by contaminating food and leading to the spread of many diseases such as amebic and bacillary dysentery and typhoid, etc.
It is important to visit a doctor after an insect bite for evaluation and medical treatment, if necessary.
Individuals who reported hometowns from outside the county are from the New Jersey towns of Woodbridge, Saddle Brook, Ogdensburg, Emerson, Lawrenceville, Point Pleasant (2) and Port Saint Lucie, Florida.
Others may feel extremely ill and be unable to eat because of pain around the jaw, and a few will develop serious complications. Melanin pigmentation thus increases under hormonal stimulation, either by MSH, or in pregnancy, or rarely due to the action of adrenocorticotrophic hormone (ACTH), the molecule of which is similar to MSH, or under the influence of other factors (for example smoking).
Adrenal sufficiency results in elevated secretion of ACTH by the pituitary gland, the melanocyte-stimulating properties of the heptapeptide core probably being responsible for the pigmentation.
In many individuals with pigmented hyperkeratosis smoking appears to be an important causative factor. Pigmentary changes, especially of the hard palate, may be seen in individuals taking anti-malarial drugs. Features suggestive of cancer include rapid increase in size, change in color, ulceration, pain, the occurrence of satellite pigmented spots or regional lymph node enlargement.
It presents initially a symptomless red, blue or purple macule which progresses to papules, nodules or ulcers and may become painful. Hemosiderin is deposited in many organs and tissues and there is also pigmentation of the skin and oral mucosa.
Excision biopsy of isolated hyperpigmented lesions is often recommended to exclude cancer, because of the cancerous potential of some (particularly the junctional nevus) and for cosmetic reasons. And the older you get, the more often they'll be there, staring back at you when look at yourself in the morning. It's in your genes, and -- aside from plastic surgery -- there's not much that can be done about it. It's a natural part of aging and something we all have to come to terms with sooner or later. Insect bites from these species can lead to the development of severe allergic reaction in people who are allergic to their stings.
However, if the mosquitoes are active carriers of various bacteria and other organisms, then their insect bite can result in the development of several diseases in the victim. The insect bites caused by these flies can result in the transfer of this organism which can result in sleeping sickness in human beings and the widespread nagana disease that affects certain groups of cattle in Africa.
Men and adolescent boys can develop pain or swelling in their testicles, which rarely results in sterility.
However, if soap and clean water are not available, use an alcohol-based product to clean your hands.
The pigmentation is most common in areas subjected to chewing trauma, especially the cheeks, but can involve any part of the oral mucosa.

An association between smoking, pigmentation of the soft palate, and pulmonary disease, especially bronchogenic carcinoma has also been shown.
Classically the pigmentation produces coppery or bronze discoloration of skin and is chiefly due to melanin, although hemosiderin is also deposited. This is particularly important if the lesions are raised or nodular or have clinical features as above seriously suggestive of being malignant melanoma.
Several factors influence this facial phenomenon, and the bags you notice under your eyes when you're in your 20s can be a lot different from the ones you develop in your 40s. When you're young, lack of sleep, lack of exercise, a diet full of salty foods and water retention can also lead to bags. The reason is simple: We all have fat in our faces, and it's held in place by ligaments and muscles. On occasions, insect bites can result in severe allergic reactions that include breathing problems, hives, etc. It may be noted that the percentage of deaths due to bee stings is greater than that caused by snake bites. Some of the diseases that can be caused via a mosquito bite include malaria, West Nile virus disease, encephalitis, dengue fever, yellow fever, etc. Inflammation of the protective membranes covering the brain and spinal cord (meningitis) and loss of hearing can also occur, and in rare cases this hearing loss can be permanent.
Cover your mouth and nose with a tissue when you cough or sneeze, and throw out your used tissue. Oral pigmentation has also been reported in individuals taking minocycline, a tetracycline derivative widely used for the treatment of acne. The serious manifestations are due to deposition of hemosiderin in the heart muscle, liver and pancreas. Sinus infections can cause them as well, by constantly stretching the skin beneath your eyes. As we get older, those ligaments and muscles weaken, and everything starts to sag -- making the fat more visible. The most serious complication is inflammation of the brain (encephalitis), which can lead to death or permanent disability. People who are infected with mumps don’t get sick right away—it can take 2-4 weeks for them to show signs of infection. If you don’t have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands (see Cover Your Cough for more information).
Chronic inflammation can result in melanin drop-out, especially in individuals with pigmented skin. As with other tetracyclines the drug may also be incorporated in and cause discoloration of bones and teeth.
If you notice that you have bags under your eyes early in the morning but they're generally gone by noon, it probably means they're being caused by fluid retention.
A similar thing happens within our skin: Collagen levels decline with age, causing the skin to lose its elasticity and begin to sag everywhere, including the face. Similar changes may be seen in lichen planus as a result of basal cell degeneration and may persist after the lesions have healed. The lesion is not associated with increase in the number of melanocytes or with melanocytic atypia.
You might be able to reduce their appearance by simply using an extra pillow to elevate your head while you sleep [source: Gibson]. In either case, you may need some type of cosmetic procedure to treat the issue [source: Bouchez].

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