KROK 1 Stomatology 2012 – Question 51 · KROK (Dentistry)

A patient suffering from chronic myeloleukemia has got the following symptoms of anemia: decreased number of erythrocytes and low haemoglobin concentration, oxyphilic and polychromatophilic normocytes, microcytes. What is the leading pathogenetic mechanism of anemia development?

  1. A. Deficiency of vitamin B12
  2. B. Intravascular hemolysis of erythrocytes
  3. C. Chronic haemorrhage
  4. D. Reduced synthesis of erythropoietin
  5. E. Substitution of haemoblast
Hint

Consider what happens to normal erythroid precursors when the bone marrow is massively filled with leukaemic cells.

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