Megaloblastic Anemia · Pathology

The presence of 'Howell-Jolly bodies' in a megaloblastic patient typically indicates:

  1. Hemosiderosis or systemic iron overload
  2. Splenic dysfunction or nuclear remnants
  3. Chronic lead poisoning
  4. Severe ascorbic acid (Vitamin C) deficiency
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Correct answer: Splenic dysfunction or nuclear remnants

Howell-Jolly bodies are small nuclear DNA remnants. In megaloblastic anemia, they occur because the disordered maturation of the nucleus prevents its complete expulsion during red cell development.

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