Question:

Which one of the followings is a reason for development of myelophthisic anemia?

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Remember:
- Myelophthisis = "Marrow crowding" or physical replacement of bone marrow.
- It is most commonly caused by metastatic tumors, leukemia, lymphosarcoma, or myelofibrosis.
  • Radiation injury
  • Equine infectious anemia
  • Lymphosarcoma
  • Deficiency of copper and cobalt
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The Correct Option is C

Solution and Explanation

Step 1: Understanding the Concept:
Myelophthisic anemia is a severe, non-regenerative form of anemia.
It occurs when the normal, hematopoietic tissue of the bone marrow is physically replaced, crowded out, or destroyed by abnormal, non-hematopoietic tissue or cells.

Step 2: Detailed Explanation:

Let us analyze each of the listed conditions:
- Radiation injury (A): Exposure to ionizing radiation directly damages the DNA of rapidly dividing hematopoietic stem cells, leading to bone marrow hypoplasia or aplasia (aplastic anemia). It does not involve physical tissue replacement (myelophthisis).
- Equine infectious anemia (B): EIA is a lentiviral disease of equids characterized by immune-mediated hemolysis and erythrophagocytosis. It is a hemolytic (destructive) anemia, not a space-occupying marrow disorder.
- Lymphosarcoma (C): Lymphosarcoma (malignant lymphoma) is a common systemic neoplastic disease of lymphoid tissues.
In advanced stages, neoplastic lymphocytes can extensively infiltrate and colonize the bone marrow cavity.
This neoplastic infiltration physically crowds out and replaces the normal erythroid, myeloid, and megakaryocytic stem cells.
This physical replacement of normal marrow by tumor cells is the definition of myelophthisis, which results in myelophthisic anemia.
- Deficiency of copper and cobalt (D): Copper deficiency interferes with iron transport and utilization, and cobalt deficiency (in ruminants) blocks Vitamin B12 synthesis.
These lead to microcytic/normocytic nutritional anemias due to metabolic blocks, not space-occupying bone marrow lesions.
Therefore, Lymphosarcoma is the correct cause of myelophthisic anemia.

Step 3: Final Answer:

The correct option is (C).
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