To the Editor:—
In The Journal, Sept. 10, page 166, Black and co-workers reported the occurrence of subcapsular cataracts induced by corticosteroids in patients with rheumatoid arthritis. In their interesting study the authors found a cataract, which ensued after at least one year's treatment with moderate or large doses of steroids. In a previous paper (Acta Med Scand149:161, 1954) I called attention to the fact that cataract, as observed in connection with the syndrome of Takayashu ("pulseless disease," "aortic arch syndrome") may be accelerated to a considerable degree even after a short period of treatment with corticosteroids. In this syndrome the nutrition of the cranial structures is poor, and it is possible that this factor may be responsible for the ease with which the cataract may appear.