Anemia Classification · Pathology

Basophilic stippling of red blood cells is most classically associated with which type of microcytic anemia?

  1. Iron deficiency
  2. Lead poisoning
  3. Anemia of chronic disease
  4. Vitamin B6 deficiency
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Correct answer: Lead poisoning

Lead poisoning inhibits enzymes in the heme synthesis pathway and interferes with RNA degradation. The resulting ribosomal precipitates appear as blue granules (basophilic stippling) throughout the RBC.

Difficulty: Medium Question 12 of 20

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