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Medicine COPD and Asthma cadfad6a

Increased Reid index is classically associated with?

A
Chronic Bronchitis
B
Emphysema
C
Bronchiectasis
D
Interstitial lung disease
High-Yield Explanation
The diagnostic feature of chronic bronchitis in the trachea and larger bronchi is enlargement of the mucus secretinggland . The magnitude of the increase insize is assessed by the ratio of the thickness of the submucosal gland layer to that of the bronchial wall (the Reid index--normally 0.4). Chronic smoking causes submucosal gland hyperophy and hyperplasia, leading to a Reid Index of >0.5 indicating chronic bronchitis.

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