Two children with idiopathic pulmonary haemosiderosis are reported. These a
re the first cases of this disease from Saudi Arabia and highlight the diag
nostic problem caused by their presentation as cases of iron deficiency ana
emia. The aetiopathogenesis, clinical presentation, diagnosis and managemen
t are discussed. The attention of paediatricians is drawn to this relativel
y rare cause of iron deficiency anaemia.