Acute viral hepatitis - A is diagnosed by-
Antibodies to HAV (anti-HAV) can be detected during acute illness when serum aminotransferase activity is elevated and fecal HAV shedding is still occurring. This early antibody response is predominantly of the IgM class and persists for several months, rarely for 6-12 months. The diagnosis of hepatitis A is made during acute illness by demonstrating anti-HAV of the IgM class. After acute illness, anti-HAV of the IgG class remains detectable indefinitely, and patients with serum anti-HAV are immune to reinfection. (Harrison's Principles of internal medicine, 20th edition, page 2538)
Hepatic injury related with transaminase level
Variable increase in transaminase level
IgG anti HAV used for diagnosis
No rise of transaminase at all
Infection