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4.1 Chronic bronchitis Chronic bronchitis is pathologically characterized by hyperplasia of bronchial mucous glands, degeneration and necrosis of airway epithelial cells, squamous metaplasia, and concurrent infiltration of inflammatory cells (e.g., neutrophils, macrophages, and lymphocytes) in the airway mucosa and submucosa

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Over-the-counter topical hydrocortisone cream (0.5-1%) may be used sparingly for persistent localized itching for short-term relief after discussion with a healthcare provider