Macrocytic Hyperchromic Anaemia – Deficiency

Question

Macrocytic and Hyperchromic anaemia is caused due to deficiency of:

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Question (English)

Macrocytic and Hyperchromic anaemia is caused due to deficiency of:

  1. Vitamin B₁₂ only
  2. Folic acid only
  3. Iron
  4. Both Vitamin B₁₂ and Folic acid ✓ Correct
Explanation:
Correct Answer: Both Vitamin B₁₂ and Folic acid

Both Vitamin B₁₂ (Cobalamin) and Folic acid deficiencies cause Macrocytic Hyperchromic (Megaloblastic) Anaemia. These vitamins are essential for DNA synthesis — deficiency impairs RBC maturation, producing large immature RBCs.

Why Macrocytic Hyperchromic?
  • Impaired DNA synthesis → RBCs fail to divide properly → abnormally large (macrocytic) cells.
  • Hemoglobin synthesis is relatively unaffected → cells are packed with Hb → hyperchromic (darker).
Pernicious Anaemia — Special Case of Vitamin B₁₂ Deficiency
  • Cause: Deficiency of Intrinsic Factor (IF) secreted by parietal cells of stomach → Vitamin B₁₂ cannot be absorbed in ileum.
  • Type: Macrocytic Hyperchromic anaemia.
  • Extrinsic (Castle's) factor: Vitamin B₁₂ itself (from diet).
  • Intrinsic (Castle's) factor: Glycoprotein secreted by parietal cells of stomach → needed for B₁₂ absorption.

📚 About this Topic — Animal Physiology

This multiple choice question is from Animal Physiology, Animal Refresher. It has 4 options with a detailed explanation of the correct answer. Practice more MCQs from Animal Physiology to strengthen your preparation.

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