I recently read and older article published from pubmed which states that a proven study from GLUCOLD found that inhaled steroids are contraindicated in emphysema, particularly centrilobular as they can “due to the risk of further progression of alveolar septa digestion by the uncontrolled protease burden typically associated with this type of inflammation”. So why are they prescribed, particularly in combination with a laba if they obviously cause further disease burden? Seems irr