Hepatitis C Disease Summary

Last updated: 01 December 2025

Overview

Hepatitis C is an infection due to the hepatitis C virus through contact with infected blood or by other means of transmission as stated in the Introduction section.

Hepatitis C affects approximately 185 million individuals globally. A detailed discussion about the prevalence of hepatitis C is in the Epidemiology section.

Injection drug use, blood transfusion, body piercings or tattoos done with nonsterile instruments, occupational exposure in healthcare workers, and human immunodeficiency virus (HIV) infection are the factors that influence the development of hepatitis C and are enumerated in the Risk Factors section.



Hepatitis C_Disease SummaryHepatitis C_Disease Summary

History and Physical Examination

The Clinical Presentation section describes the clinical features of the different types of acute hepatitis. The different phases of the illness, routes of transmission, incubation period, and the other characteristics of hepatitis viruses are also discussed in this section.

The History section lists the important points in the clinical history of patients who are suspected of viral hepatitis.

Diagnosis

Discussion on serological and screening tests and other recommended lab tests in patients suspected of viral hepatitis is in the Laboratory Tests and Ancillaries section.

The Imaging section discusses noninvasive imaging modalities for the diagnosis of liver fibrosis, cirrhosis, hepatocellular carcinoma and the presence of ascites.

Other diseases that should be ruled out in the diagnosis of hepatitis C are listed in the Differential Diagnosis section.

Management

General care in the management of hepatitis C is explained in the Evaluation section. Clinical decisions and patient characteristics as important factors in the management and treatment of hepatitis C are also discussed in this section.

General therapy principles and goals of treatment in the management of hepatitis C are in the Principles of Therapy section.

The Pharmacological Therapy section discusses in detail the management of acute and chronic hepatitis C depending on the type of patients, genotypes, the presence or absence of cirrhosis, and retreatment options for patients with failure or prior therapy.

The Nonpharmacological section includes things to educate the patient about the management of hepatitis C, including discussion on partner notification. 

Indications for liver transplantation are discussed in the Surgery section.

The Prevention section includes explanations on primary, secondary, and tertiary interventions recommended for individuals infected with the hepatitis C virus.

The Prognosis section discusses the consequences of hepatitis C virus infection.