This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Social & Preventive Medicine
One of the following is not reported to be a clinical manifestation of Zinc deficiency in children – 
Select and explain. 
A. Dwarfism and hypogonadism, B. Liver and spleen enlargement, C. Impaired cell–mediated immunity, D. Macrocytic anaemia
D: Macrocytic anaemia
Answer: D: Macrocytic anaemia 
Explanation: Feature of Zn def: Growth failure • Sexual infantilism • Impaired immunity • Decreased insulin synthesis • Delayed wound healing • Loss of taste (Aguesia) • Liver disease (Hepatomegaly + Splenomegaly), Pernicious anemia, Thalassemia, Myocardial infarction • Megaloblastic anemia (due to reduced absorption of Folyl-glutamates) • Maternal zinc deficiency: Spontaneous abortion, Congenital malformation (Anencephaly), Low birth weight, IUGR, Preterm delivery.