<prompt> Spur cell anaemia is seen inDrug induced anaemiaHepatocellular diseaseRenal diseaseAlcoholism  <response>: Spur cell anemia SCA is an acquired hemolytic anemia, characterized by an increase in the percentage of spur cells acanthocytes associated with liver cirrhosis . The presence of 5 spur cells on peripheral blood smears has been observed in 31 of patients with liver cirrhosis Ref Davidson 23rd edition pg 891 