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Background: COPD guidelines report that systemic corticosteroids are preferred over inhaled corticosteroids in the treatment of exacerbations, but the inhaled route is considered to be an optionfor the maintenance of remission.[5] Other potential therapies that can be used in chronic COPD include anti-cyclic nucleotides, steroids and antioxidants such as Vitamin E and cobalamin.[6] What is COPD? COPD is a chronic airway disease that is primarily defined by increased secretion of gases and decreases in gas exchange through the mouth and lungs. It is a complex disease with multiple clinical features, such as pain and cough, weight loss, decreased lung function, decreased lung volume and oxygen deficiency, an increased risk of chronic obstructive pulmonary disease (COPD) and reduced lung elasticity.[6,7] Diseases of COPD (Pneumoconiosis) can be divided into Pneumocystis jiroveciitis (C. jiroveci) and Pulmonary Pneumoconiosis (P. p. jiroveci). In Pneumocystis jiroveciitis, the airways are infected with the organism which causes the pneumocystis. Pulmonary infection of the airways develops after an acute or chronic illness. The illness leads to a cough (acute bronchitis) and congestion of the airways (chronic bronchitis) resulting in the formation of the "tub" (narrow or deep white cell wall surrounding airway surface with cytoplasm surrounding it). The infection is not as severe as with P. p. jiroveci and can be prevented at the onset. Pulmonary Pneumoconiosis is caused when the pathogen enters the lungs, causes disease and then enters the body. After the pathogen causes disease, the organism can enter the airways and cause disease, which causes disease or death. Common symptoms of COPD include: • chronic chronic cough/pulmonary edema • chronic bronchitis • chronic low respiratory tract infection (CHTI) • pulmonary artery hypertension (PAH) • chronic cough/phlegmon • cough with or without upper respiratory infection • acute upper respiratory tract infection (e.g., bronchitis, sinusitis, asthma) Other symptoms include: • decreased lung capacity • difficulty with breathing • decreased lung function How is COPD diagnosed? Diagnosis of COPD is based on the presence and duration of the lung disease and/or a normal respiratory tract. The presence Related Article:

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