This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: CLL & CML, Subject name: Medicine
Which of these is not a feature of C.M.L? 
Select and explain. 
A. Pruritus, B. Infections, C. Shift to left, D. Autoimmune haemolytic anaemia
D: Autoimmune haemolytic anaemia
Answer: D: Autoimmune haemolytic anaemia 
Explanation: Autoimmune hemolytic anemia is a feature of CLL Features of CML: - - Increased Basophil count: i. Leading to release of histamine ii. Leading to itching, pruritis, flushing episodes, peptic ulcers, secretory diarrhea - Immature cell in P. Smear (Shift to left) - Infection: Neutrophil Alkaline phosphatase (NAP) score is lesser which is responsible for neutrophils to fight infections. - Normocytic Normochromic Anemia