O nce upon a time distinguishing between COPD and asthma in a smoking or ex-smoking patient was easy: a patient who smoked, had a low diffusing capacity of the lung for carbon monoxide or a hyperlucent radiogram, and no bronchodilator response was labelled as COPD; whereas a patient who, whether they smoked or not, had a bronchodilator response and airway hyperresponsiveness (AHR) was an asthma...