This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Haematology, Subject name: Medicine
[{'content': 'Spur cell anaemia is seen in \nSelect and explain. \nA. Drug induced anaemia, B. Hepatocellular disease, C. Renal disease, D. Alcoholism', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Spur cell anemia (SCA) is an acquired hemolytic anemia, characterized by an increase in the percentage of spur cells (acanthocytes) associated with liver cirrhosis . The presence of >=5% spur cells on peripheral blood smears has been observed in 31% of patients with liver cirrhosis Ref Davidson 23rd edition pg 891', 'role': 'assistant'}]