irving penn cigarette 108: PENN, No. 37, New York < Photographs, 2 August 2023 < Auctions 155: IRVING PENN, Tennessee Williams,

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While chronic bronchitis (excessive mucus production and cough) and emphysema (alveolar damage leading to reduced gas exchange) are commonly described phenotypes, many patients exhibit features of both, reflecting a combined disease presentation rather than distinct subtypes 4,5

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