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chronic obstructive pulmonary disease is a combination of chronic bronchitis and emphysema charecterized by dyspnea,wheezing and increased work of breathing.children can get copd if they have inherited deficiency of the enzyme alpha-1 antitrypsin which inhibits action of many proteolytic enzymeswhich can affect lung tissue.this can be aggregated by exposure to air pollutants such as secondary smoke.copd in children can also occur due to childhood respiratory infections such as streptococcus pneumoniae

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