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Does Bronchiectasis warrant a COPD diagnosis
MAC & Bronchiectasis | Last Active: Feb 25 12:34am | Replies (13)Comment receiving replies
BE is widening of the bronchii , so anti-obstructive
Although
- when they are full of mucus -
-or why are they widened - is it a reaction to obstruction ?
there are clear guidelines for COPD-definition,
changed recently
GOLD 2024 defined COPD as a heterogeneous lung condition characterized
by chronic respiratory symptoms (dyspnea or shortness of breath, cough,
sputum production or exacerbations) due to abnormalities of the airways
(bronchitis, bronchiolitis) or alveoli (emphysema) that cause persistent,
often progressive, airflow obstruction.[9]
https://goldcopd.org/2024-gold-report/
Replies to "BE is widening of the bronchii , so anti-obstructive Although - when they are full of..."
@bsi15 I see your logic but having widened, scarred, dysfunctional airways is not anti-obstructive. BE falls under the umbrella of obstructive lung disease as it can (depending on severity) impact our ability to fully exhale, leading to air trapping. A quick google search will confirm what I am explaining and I am sure your pulmonologist can further explain it to you better than I.
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I have none of the typical attributes of COPD , it's just post-pneumonia.
Still, when they just go by FEV1 in the new definition , I do have COPD.
And this apparently now also includes many cases of severe longterm COVID,
with no COPD-signs before infection.