Spur cell anaemia is seen in
Drug induced anaemia
Hepatocellular disease
Renal disease
Alcoholism
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
Haematology