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