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Giant-cell arteritis (GCA) is a vasculiticcondition presenting mainly in the elderly. Its effectsrange from symptoms referable to the locally effectedlarge and medium-sized arteries to a multisystem disease process. Abnormalities of liverassociated chemistry have been described, particularlyelevation in the serum alkaline phosphatase (1-5).Reports of granulomata occur but these are rare (6-10). We report a further case of granulomatous liverdisease in a patient who presented with anemia andraised serum alkaline phosphatase in whom a diagnosis ofgiant-cell arteritis was subsequentlyconfirmed.