Although blastomycosis is no longer considered a rare disease, only sporadic case reports have described it as an infection occurring in childhood (1, 7, 8, 10). Of 60 proved cases of blastomycosis at the University of Arkansas Medical Center, 6 occurred in childhood. The purpose of this article is to review the clinical and radiographic findings in these children. Of particular interest is the involvement of the skull in 3 of the 6 patients, a finding not previously reported. Case Material Clinical records and radiographs were available in 60 patients with proved blastomycosis. The ages of the patients ranged from two years through eighty years. The most frequent age at the time of diagnosis was forty to sixty years. The disease occurred more frequently in males in both the adult and the pediatric age groups. As in prior reports, the most common sites of involvement were the skin and the lungs. Bony involvement was frequent and often multiple. In each instance, the pathologic diagnosis was made by isolat...