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There is a significant risk of death from respiratory arrest or aspiration of vomit
Museum of Vertebrate Zoology
This paradox arises from the inherent complexity of MS pathogenesis which we argue is driven by a convolution of relapsing/acute adaptive autoimmunity and chronic cytodegeneration (cyto-is used here rather than neuro-to underscore the point that myelin/oligodendrocytes are the likely primary targets of this process), including an elaborate innate immune response (Figure 1)
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