Liver pathology in aircrew

The aim of this review is to determine the incidence and aetiology of fatty liver and other liver pathology in aircrew. A review of 525 fatal aircraft accidents resulted in deaths of 776 aircrew. Histology of liver, available in 423 aircrew, was reviewed and 118 found abnormal. There were 66 cases (15.6%) of fatty livers. In 11 of the fatty livers and 8 of the 52 non-fatty livers there was histopathologic evidence compatible with alcohol abuse (4.5%). The histopathologic appearances are discussed.