Usage difficulties of the leading endobronchitis classification

The Lemoine's categorisation is the leading endobronchitis classification in Russia at the moment. It requires a 3-degrees of inflammation intensity and synchronous increase of the bronchial secretion amount, the deterioration of its quality, increase of edema and hyperemia of the mucosa. According to analysis of visual endoscopic picture of 2000 patients with chronic obstructive pulmonary disease several shortcomings of existing classification were identified. The concept of "atrophic" endobronchitis is not provided; hemorrhagic component of endobronchial inflammation is not described; secretion location in the tracheobronchial tree is not considered; various forms of mucopurulent secretion are not distinguished; and often there is no synchrony in the increase of edema and hyperemia of the mucous membrane with deteriorating of secretion quality and the increase of its quantity.

Lemoine's categorisation, inflammation intensity degree, bronchial secretion