MNDs are classified according to whether they are inherited or sporadic, and to whether degeneration affects upper motor neurons, lower motor neurons, or both. Today, dupilumab (an antibody that blocks interleukin-4 and interleukin-13) seems to be highly effective (NEJM 371: 130, 2013). You should reduce the tick population around your home with simple landscape changes and spraying. Polymyalgia Rheumatica can be a relatively benign condition that is extremely responsive to treatment.

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