Granulomatous hepatitis due to sarcoidosis: a case report.

A Royal Australian Air Force transport pilot is discovered to have abnormal liver function tests during a routine aircrew medical examination. In the preceding 12 mo he had experienced minimal symptoms. Liver biopsy confirmed granulomatous hepatitis, the cause of which was determined to be sarcoidosis. Hilar and paratracheal lymphadenopathy were found on chest radiography. No overt evidence of other pulmonary, cardiac or ocular disease was found. This case illustrates the interesting problem of a clinically well aviator with biochemical abnormalities only, but at risk due to the potential presence of more widely disseminated sarcoidosis.