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Multiple Choice

Which of the following is NOT a nutritional anemia?

Anemia caused by not getting enough of a nutrient needed to make red blood cells is a nutritional anemia. Iron deficiency is the classic example, and pernicious anemia results from vitamin B12 deficiency, while what’s labeled as microblastic anemia is typically related to impaired DNA synthesis from nutrient shortages such as folate or B12. Anemia of chronic disease, on the other hand, isn’t due to a lack of nutrients. It happens with ongoing inflammation or illness and changes how iron is handled in the body. Inflammation raises hepcidin, which blocks iron absorption and traps iron in storage. Even though iron may be present in the body, it isn’t made available for red blood cell production, and erythropoiesis is suppressed. So this form of anemia is not a nutritional deficiency, distinguishing it from the others.

Anemia caused by not getting enough of a nutrient needed to make red blood cells is a nutritional anemia. Iron deficiency is the classic example, and pernicious anemia results from vitamin B12 deficiency, while what’s labeled as microblastic anemia is typically related to impaired DNA synthesis from nutrient shortages such as folate or B12.

Anemia of chronic disease, on the other hand, isn’t due to a lack of nutrients. It happens with ongoing inflammation or illness and changes how iron is handled in the body. Inflammation raises hepcidin, which blocks iron absorption and traps iron in storage. Even though iron may be present in the body, it isn’t made available for red blood cell production, and erythropoiesis is suppressed. So this form of anemia is not a nutritional deficiency, distinguishing it from the others.