Overeatment with D-penicillamine results in:: (A) Copper toxicity in the retina, (B) Sideroblastic anemia, (C) Hypercoagulable state, (D) Dyslipidemia
Answer is B. Hepatic siderosis is seen in patients with reduced levels of serum ceruloplasmin and non-ceruloplasmin bound copper. Overeatment with penicillamine lead to reversible sideroblastic anemia and hemosiderosis. Ref: Journal of Hepatology 2012 vol. 56 / 671-685.