A patient with anemia has a peripheral smear showing basophilic stippling. What is the most likely diagnosis?

A Lead poisoning ✓
B Iron deficiency anemia
C Thalassemia
D Sideroblastic anemia

Explanation

Basophilic stippling is a characteristic finding in lead poisoning, which can cause anemia due to inhibition of heme synthesis.

Source

Williams Hematology
Hematology Hematology: Anemia Hematology: Anemia Hard MEDICAL Confidence: high