- Hepatitis C virus (HCV) infection causes liver inflammation and is an infectious disease that can present as acute or chronic.
- The primary route of transmission is contact with the blood of an infected person, and contaminated syringes, tattooing tools, personal items, childbirth, and certain sexual contacts may be involved.
- Liver inflammation caused by HCV infection can damage liver tissue, and if the infection persists, it can lead to fibrosis and cirrhosis.
- Many people are asymptomatic, but during the acute phase, symptoms such as fatigue, fever, nausea, abdominal pain, joint pain, dark urine, and jaundice may appear.
- Risk factors that can increase the risk include intravenous drug use, past blood transfusions or organ transplants, hemodialysis, blood exposure in medical settings, HIV infection, and birth to an infected mother; the course varies by individual.
- Acute infection can last up to 6 months and may resolve spontaneously, but in many cases it becomes chronic, with complications potentially manifesting decades later.
- Diagnosis is based on confirming exposure and medical history, physical examination, and blood tests, and if necessary, additional tests for assessing liver damage are also performed.
- As many cases are asymptomatic, infection cannot be ruled out based solely on the presence or absence of symptoms, and test results must be interpreted by considering both the timing of infection and the degree of liver damage.
- The key to management is reducing complications through early detection and antiviral treatment, and appropriately evaluating and managing concomitant issues such as liver cirrhosis or liver cancer.
- Current treatment centers on antivirals, and it is advised that the infection can be treated in most cases.