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ascorbate in serum/plasma
Indications:
- evaluation of vitamin C deficiency (scurvy)
Reference interval:
- serum/plasma: 0.4-1.5 mg/dL (23-85 umol/L)
- ascorbate deficiency < 0.2 mg/dL
Increases:
1) oral vitamin C supplements will increase plasma levels
a) large doses (grams/day) may result in plasma levels > 2 mg/dL
b) renal threshold for vitamin C is 1.0 mg/dL (57 umol/L)
Decreases:
1) chemical interferences
a) plasma
-> aminopyrine, aspirin, barbiturates, estrogens, heavy metals, oral contraceptives, nitrosamines, paradehyde
2) clinical disorders
a) plasma
-> scurvy, anemia, pregnancy, steatorrhea, alcoholism, malabsorption, hyperthyroidism, rheumatoid disease, cancer, hemodialysis
b) blood levels are lower in males & in heavy smokers
* results may be misleading when either leukocyte or platelet count is abnormal
Specimen:
1) serum or plasma (oxalate, EDTA or heparin) avoid hemolysis
a) deproteinize promptly with metaphosphoric acid (5 g/dL) or trichloroacetic acid (10 g/dL)
b) supernatants stable at -20 C for 2 months
Related
ascorbate; ascorbic acid; vitamin C
General
ascorbate in specimen
References
- Clinical Guide to Laboratory Tests, 3rd ed. Teitz ed.,
W.B. Saunders, 1995
- Vitamin C, Plasma
Laboratory Test Directory ARUP: 80380