Idiopathic pulmonary hemosiderosis is an uncommon disorder, which is characterized by iron deficiency anemia, recurrent hemoptysis, diffuse parenchymal infiltration on chest radiograph. We report a six-year-old girl admitted in the pediatric emergency department with complaints of cough, respiratory difficulty, progressive pallor and bloody sputum for last two years.She had been hospitalized six times during this period and received antibiotics, bronchodilators and blood transfusion. Chest X-ray revealed bilateral pulmonary infiltrate, CT scan of lungs showed ground glass pattern, blood examination was suggestive of iron deficiency anemia and bronchoalveolar lavage yielded hemosiderin-laden macrophages. Investigations to exclude any secondary causes of hemosiderosis were negative. The child was diagnosed as Idiopathic pulmonary hemosiderosis and treated with prednisolone. Six months follow up after discharge revealed no problem.