TY - JOUR T1 - Inhaled steroids in exacerbations of COPD JF - European Respiratory Journal JO - Eur Respir J SP - 398 LP - 398 DO - 10.1183/09031936.00044007 VL - 30 IS - 2 AU - A. Singh Y1 - 2007/08/01 UR - http://erj.ersjournals.com/content/30/2/398.abstract N2 - To the Editors: I read with interest the recent article by Gunen et al. 1, wherein the authors presented the hypothesis that nebulised budesonide might be an alternative to systemic corticosteroids in the treatment of patients with exacerbations of chronic obstructive pulmonary disease (COPD). There are certain points which need discussing regarding their hypothesis of nebulised inhaled corticosteroids in COPD exacerbations. First, exacerbations of COPD were considered to be a purely local disease: there is now enough evidence to support … ER -