India contributes about 40% of the total global burden of lymphatic filariasis (LF) and 25 states/union territories of India are endemic (1). Until recently, LF has been considered as a disease of adults and most epidemiological surveys have excluded children. Although recent surveys revealed a considerable prevalence of filarial infection among children(2), the pediatric filarial disease remains unexplored. We report the clinical manifestations of LF among 54 children aged, 2-14 years, who attended filariasis clinic at state headquarters hospital of Orissa, India, between July 2001 to December 2006. Distribution of symptoms and sigs of LF is shown in Table 1. The lymphedema was also observed at a young age (2 years old boy and 3 years old girl). Our study may not reflect the true prevalence of filarial disease in children since many cases might have subclinical manifestations, even though they contacted the disease in early childhood. Shenoy, et al.(3) showed that 11% of children in areas endemic for brugian LF in Kerala are positive for filarial antigen, and demonstration of adult worms in some children represents an important step in understanding the pathology of LF in children.