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What is ALS, the disease that killed actor Eric Dane?

TECH

What is ALS, the disease that killed actor Eric Dane?
TECH

TECH

What is ALS, the disease that killed actor Eric Dane?

2026-02-21 00:42 Last Updated At:12:00

Eric Dane, known for his roles on “Grey’s Anatomy” and “Euphoria,” died this week from amyotrophic lateral sclerosis at age 53.

The fatal nervous system disease, also known as Lou Gehrig’s disease, killed Dane less than a year after he announced his diagnosis.

According to the Centers for Disease Control and Prevention, ALS is rare. In 2022, there were nearly 33,000 estimated cases, say researchers, who project that cases will rise to more than 36,000 by 2030.

The disease is slightly more common in men than in women and tends to strike in midlife, between the ages of 40 and 60.

Here’s what to know.

It affects nerve cells in the brain and spinal cord, causing loss of muscle control and getting worse over time.

ALS causes nerve cells in the upper and lower parts of the body to stop working and die. Nerves no longer trigger specific muscles, eventually leading to paralysis. People with ALS may develop problems with mobility, speaking, swallowing and breathing.

The exact cause of the disease is unknown, and Mayo Clinic experts said a small number of cases are inherited.

It’s called Lou Gehrig’s disease after the Hall of Fame New York Yankees player. Gehrig was diagnosed with ALS in 1939 on his 36th birthday, died in 1941 and was the face of ALS for decades.

Experts say the first symptoms are often subtle. The disease may begin with muscle twitching and weakness in an arm or leg.

Over time, muscles stop acting and reacting correctly, said experts at University of California San Francisco Health. People may lose strength and coordination in their arms and legs; feet and ankles may become weak; and muscles in the arms, shoulders and tongue may cramp or twitch. Swallowing and speaking may become difficult and fatigue may set in.

The ability to think, see, hear, smell, taste and touch are usually not affected, UCSF experts said.

Eventually, muscles used for breathing may become paralyzed. Patients may be unable to swallow and inhale food or saliva. Most people with ALS die of respiratory failure.

The disease is difficult to diagnose because there’s no test or procedure to confirm it. Generally, doctors will perform a physical exam, lab tests and imaging of the brain and spinal cord.

A doctor may interpret certain things as signs of ALS, including an unusual flexing of the toes, diminished fine motor coordination, painful muscle cramps, twitching and spasticity, a type of stiffness causing jerky movements.

There’s no known cure for ALS, but the drug riluzole has been approved for treatment. According to the Mayo Clinic, it may extend survival in the early stages of the disease or extend the time until a breathing tube is needed.

Another much-debated drug, Relyvrio, was pulled from the U.S. market by Amylyx Pharmaceuticals in 2024. Its development had been financed, in part, by the ALS Association, the major beneficiary of the 2014 “ ice bucket challenge ” viral phenomenon.

Other medications are sometimes prescribed to help control symptoms.

Choking is common as ALS progresses, so patients may need feeding tubes. People may also use braces, wheelchairs, speech synthesizers or computer-based communication systems.

After the onset of the disease, experts say patients may survive from two years to a decade. Most people live from two to five years after symptoms develop, and about a fifth live more than five years after they are diagnosed.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

FILE - Actor Eric Dane arrives to the 12th annual GQ "Men of the Year" party at the Chateau Marmont hotel, in Los Angeles, Dec. 5, 2007. (AP Photo/Chris Pizzello, File)

FILE - Actor Eric Dane arrives to the 12th annual GQ "Men of the Year" party at the Chateau Marmont hotel, in Los Angeles, Dec. 5, 2007. (AP Photo/Chris Pizzello, File)

FILE - Eric Dane and Rebecca Gayheart arrive at the 59th Primetime Emmy Awards at the Shrine Auditorium, Sept. 16, 2007, in Los Angeles. (AP Photo/Kevork Djansezian, File)

FILE - Eric Dane and Rebecca Gayheart arrive at the 59th Primetime Emmy Awards at the Shrine Auditorium, Sept. 16, 2007, in Los Angeles. (AP Photo/Kevork Djansezian, File)

WASHINGTON (AP) — The White House asserted to Congress in a letter Friday that hostilities with Iran have “terminated” despite the continued presence of U.S. armed forces in the region.

The message from President Donald Trump effectively skirts a May 1 legal deadline to gain approval from members of Congress to continue the war with Iran. That deadline was already set to pass without action from Republican lawmakers who are deferring to the president.

The letter brings into stark relief the bold but legally questionable assertion of presidential power at the heart of Trump’s war, which he began without congressional approval two months ago.

“The hostilities that began on February 28, 2026, have terminated,” Trump wrote House Speaker Mike Johnson, R-La., and Sen. Chuck Grassley, R-Iowa, the Senate president pro tempore.

Yet he also made it clear in the letter that the war may be far from over.

“Despite the success of United States operations against the Iranian regime and continued efforts to secure a lasting peace, the threat posed by Iran to the United States and our Armed Forces remains significant,” the Republican president said.

Under the War Powers Resolution of 1973, Congress must declare war or authorize the use of force within 60 days — Friday was the deadline — or within 90 days if the president asks for an extension. This Congress made no attempt at enforcing that requirement, leaving town Thursday for a week after the Senate rejected a Democratic attempt to halt the war for a sixth time.

Some GOP senators are growing uneasy about the war’s timeline, which Trump initially said would last a few weeks. But Trump's letter showed how the president continues to forego congressional approval. It contends the deadlines set by the law do not apply because the war in Iran effectively ended when a shaky ceasefire began in early April.

Senate Majority Leader John Thune, R-S.D., said Thursday he did not plan on a vote to authorize force in Iran or otherwise weigh in.

“I’m listening carefully to what the members of our conference are saying, and at this point I don’t see that,” Thune said.

The reluctance to defy Trump on the war comes at a politically perilous time for Republicans, with public frustration mounting both over the conflict and its impact on gas prices. Still, most GOP lawmakers say they are supportive of Trump’s wartime leadership or are at least willing to give him more time amid the fragile ceasefire.

Sen. Kevin Cramer, R-N.D., said he would vote for an authorization of war if Trump asked for it. But Cramer questioned whether the resolution passed during the Vietnam War era, as a way for Congress to claw back its power, was constitutional.

“Our founders created a really strong executive, like it or not like it,” Cramer said.

Some GOP senators did make it clear that they eventually want Congress to have a say.

Indiana Sen. Todd Young said in a statement that lawmakers “must ensure that the people, through their elected representatives, weigh in on whether to send our military into combat.”

He added that since the Trump administration is stating that “the Iran conflict has ceased, there should be no hostilities moving forward,” and that if the conflict resumes, he expects the White House to work with Congress to pass an authorization for use of military force.

A handful of GOP senators have said for weeks that Congress should assert its authority over the war at some point. One of those, Maine's Susan Collins, voted for the first time with Democrats on Thursday to halt the war. She said in a statement that she wants to see a defined strategy for bringing the conflict to a close.

“The president’s authority as commander in chief is not without limits," Collins said, adding that the 60-day deadline is “not a suggestion, it is a requirement."

In addition to Collins and Young, Republican Sens. John Curtis of Utah, Thom Tillis of North Carolina, Lisa Murkowski of Alaska and Josh Hawley of Missouri, among others, have said they would eventually like to see a vote.

Curtis said he would not support continued funding for the war until Congress votes to authorize it.

“It is time for decision-making from both the administration and from Congress — and that can happen in league with one another, not in conflict,” Curtis said.

Thune suggested the White House step up its outreach to lawmakers with briefings and hearings if it wants continued support from Capitol Hill.

“Obviously, getting readouts from our military leadership on a somewhat regular basis, I think, will be helpful in terms of shaping the views of our members about how comfortable they are with everything that’s happening there, and the direction headed forward,” Thune said.

With the 60-day window under the War Powers Resolution expiring Friday, Defense Secretary Pete Hegseth said during a congressional hearing Thursday, “We are in a ceasefire right now, which our understanding means, the 60-day clock pauses or stops.”

The administration is making that argument even though Iran maintains its chokehold on the Strait of Hormuz and the U.S. Navy is maintaining a blockade to prevent Iran’s oil tankers from getting out to sea.

Trump on Friday echoed Hegseth’s argument, and stressed that other presidents had similarly not sought congressional approval as laid out under the 1973 law.

“Every other president considered it totally unconstitutional, and we agree with that,” Trump said at the White House as he departed for Florida.

Democrats scoffed at the suggestion that May 1 was not the real deadline.

Sen. Richard Blumenthal, D-Conn., said on social media, “There’s no pause button in the Constitution, or the War Powers Act. We’re at war. We’ve been at war for 60 days. The blockade alone is a continuing act of war.”

The development came as little surprise to at least one House Democrat who oversees the military.

Washington Rep. Adam Smith, the ranking Democrat on the House Armed Services Committee, told The Associated Press: "Is the expectation that the Trump administration is going to follow the law? I do not have that expectation.”

President Donald Trump walks to speak with reporters as he prepares to board Marine One on the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Mark Schiefelbein)

President Donald Trump walks to speak with reporters as he prepares to board Marine One on the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Mark Schiefelbein)

President Donald Trump speaks with reporters as he prepares to board Marine One on the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Mark Schiefelbein)

President Donald Trump speaks with reporters as he prepares to board Marine One on the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Mark Schiefelbein)

President Donald Trump waves before departing on Marine One from the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Alex Brandon)

President Donald Trump waves before departing on Marine One from the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Alex Brandon)

President Donald Trump speaks with reporters before departing on Marine One from the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Alex Brandon)

President Donald Trump speaks with reporters before departing on Marine One from the South Lawn of the White House, Friday, May 1, 2026, in Washington. (AP Photo/Alex Brandon)

Secretary of Defense Pete Hegseth, left, and Gen. Dan Caine, Chairman of the Joint Chiefs of Staff, appear before a House Committee on Armed Services business meeting on the Department of Defense Fiscal Year 2027, on Capitol Hill, Wednesday, April 29, 2026, in Washington. (AP Photo/Rod Lamkey Jr.)

Secretary of Defense Pete Hegseth, left, and Gen. Dan Caine, Chairman of the Joint Chiefs of Staff, appear before a House Committee on Armed Services business meeting on the Department of Defense Fiscal Year 2027, on Capitol Hill, Wednesday, April 29, 2026, in Washington. (AP Photo/Rod Lamkey Jr.)

President Donald Trump clasps his hands on the Resolute Desk as he speaks before signing an executive order regarding retirement savings in the Oval Office of the White House, Thursday, April 30, 2026, in Washington. (AP Photo/Alex Brandon)

President Donald Trump clasps his hands on the Resolute Desk as he speaks before signing an executive order regarding retirement savings in the Oval Office of the White House, Thursday, April 30, 2026, in Washington. (AP Photo/Alex Brandon)

From l-r., Chairman of the Joint Chiefs of Staff Air Force Gen. Danial Caine, Secretary of Defense Pete Hegseth, and acting undersecretary of defense during the Senate Armed Services Committee hearing on the Department of Defense budget, on Capitol Hill, in Washington, Thursday, April 30, 2026. (AP Photo/Cliff Owen)

From l-r., Chairman of the Joint Chiefs of Staff Air Force Gen. Danial Caine, Secretary of Defense Pete Hegseth, and acting undersecretary of defense during the Senate Armed Services Committee hearing on the Department of Defense budget, on Capitol Hill, in Washington, Thursday, April 30, 2026. (AP Photo/Cliff Owen)

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