A 20yr old 0 presented with Yo of fatigue and tiredness On investigation Hb 9gmt Mcv 10% FL . PS shows macrocytic RBC&;s with hypersegmented neutrophils what is the most likely diagnosis: (A) Iron defficiency anemia, (B) Pb poisoning, (C) alcoholism, (D) Anemia of chronic disease
Answer is C. ref : harrisons 21st ed