Megaloblastic Anemia · Pathology

Which of the following describes the 'pancytopenia' often seen in severe megaloblastic anemia?

  1. Low RBCs, but normal WBCs and platelets
  2. Low RBCs, WBCs, and platelets
  3. High RBCs but low WBCs
  4. It only occurs if there is concurrent iron deficiency
Show answer and explanation

Correct answer: Low RBCs, WBCs, and platelets

Because the DNA synthesis defect affects all rapidly dividing cells, all three hematopoietic lineages are impacted. This results in anemia, leukopenia (with hypersegmented neutrophils), and thrombocytopenia.

Difficulty: Medium Question 16 of 20

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