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: Medicine
Overeatment with D-penicillamine results in: 
Select and explain. 
A. Copper toxicity in the retina, B. Sideroblastic anemia, C. Hypercoagulable state, D. Dyslipidemia
B: Sideroblastic anemia
Answer: B: Sideroblastic anemia 
Explanation: 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.