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. 2023 Feb 20;29(3):623–642. doi: 10.3350/cmh.2022.0349

Table 3.

Proposed diagnostic criteria for acute HCV infection

Major criteria Seroconversion of anti-HCV antibody from negative to positive reaction
Presence of serum HCV RNA from a previously negative reaction of anti-HCV antibody
Ancillary criteria Markedly-elevated serum ALT levels (>5–20 times of the upper limit of normal)
Known or suspected exposure to HCV during the past 6 months
Clinical symptoms of acute illness, including fever, nausea, vomiting, diarrhea, abdominal pain, fatigue, dark urine, and jaundice
Sudden onset of liver disease
Excluding other causes of acute liver injuries

HCV, hepatitis C virus; RNA, ribonucleic acid; ALT, alanine aminotransferase.