Abstract
1. In Hirosaki Area infantile pellagra or nutritional dystrophy has been prevalent.
2. Marked enlargement of the liver as a prominent feature among clinical manifestations of chronic miliary tuberculosis in children in this Area should be regarded in a new light.
3. Liver biopsy was carried out in 2 cases of chronic miliary tuberculosis, and it revealed miliary tubercles, portal fibrosis and marked fatty infiltration of the organ.
4. Marked enlargement of the liver in these tuberculous children will be ascribed to fatty infiltration of the liver (identified by liver biopsy) probably due to dietary deficiency prior to their tuberculous infection.
