<prompt> The most impoant example of a compensated hemolytic anemia becomes decompensated, is when:Infected with TBInfected with parvovirus B19Liver diseaseRenal cell carcinoma  <response>: A patient with a hemolytic condition may present without anemia Compensated hemolytic anemia It becomes decompensated in Pregnancy Folate deficiency Renal failure Interfering with adequate EPO production. Also in Acute infections- which depresses erythropoiesis. The most dramatic example is parvovirus B19 infection, which may lead to aplastic crisis. Ref: Harrison, E-18,P-873. 