Can Vitamin C deficiency cause leukocytosis (increased white blood cell count)?

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Last updated: February 17, 2025 • View editorial policy

From the Guidelines

Vitamin C deficiency can indeed cause leukocytosis, characterized by an elevated white blood cell count, as it plays a crucial role in regulating the epigenome and preventing the over-proliferation of leukocyte precursors in bone marrow [1@].

Key Findings

  • The regulation of the epigenome by vitamin C may comprise a major role in its pleiotropic health-promoting and disease-modifying effects, including the prevention of leukocytosis [1@].
  • Vitamin C has been shown to prevent the progression of hematopoietic stem cells to a leukemic phenotype in a TET-dependent manner [1@].
  • Preliminary human intervention studies have indicated that intravenous vitamin C can improve clinical remission and survival in acute myeloid leukemia patients, particularly those with TET and related mutations [1@].

Clinical Implications

  • Vitamin C supplementation may be necessary to correct the underlying deficiency and normalize white blood cell counts [1@].
  • The minimum dose of vitamin C required to induce epigenetic changes and prevent leukocytosis is not yet established, but a dose of 500 mg/d has been shown to induce epigenetic changes in patients with myeloid cancer [1@].
  • Further research is needed to determine the optimal dose and duration of vitamin C supplementation for the prevention and treatment of leukocytosis and other non-communicable diseases [1

From the Research

Vitamin C Deficiency and Leukocytosis

  • There is no direct evidence in the provided studies that links Vitamin C deficiency to leukocytosis (increased white blood cell count) 1, 2, 3, 4, 5.
  • The studies primarily focus on the clinical manifestations, diagnosis, and treatment of scurvy, a disease caused by Vitamin C deficiency, and its effects on various bodily systems, but do not specifically address the relationship between Vitamin C deficiency and white blood cell count.
  • Some studies mention laboratory findings such as anemia, hypocholesterolemia, and hypoalbuminemia in patients with Vitamin C deficiency, but leukocytosis is not mentioned as a common finding 2, 4, 5.
  • One study notes that the patient's condition improved with Vitamin C supplementation, including resolution of skin lesions and joint contractures, but does not provide information on white blood cell count 2.
  • Another study mentions that the patient's hemoglobin level improved with Vitamin C supplementation, but again, does not provide information on white blood cell count 4.

References

Research

Scurvy presenting in a homeless 32-year-old male: a case report.

European journal of clinical nutrition, 2024

Research

Scurvy.

Acta dermatovenerologica Croatica : ADC, 2022

Research

High-dose vitamin C therapy for symptomatic deficiency in a patient with myasthenia gravis and Crohn's disease.

Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2022

Research

Vitamin C deficiency: rare cause of severe anemia with hemolysis.

International journal of hematology, 2019

Research

[Vitamin C deficiency].

La Revue de medecine interne, 2004

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.