KROK 1 2012 – Question 56 · KROK (Medicine) · Pathophysiology

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

Ask what a leukaemic clone does to normal haemopoietic tissue and which type of anaemia the red cell picture supports.

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