TY - JOUR AU - BELL, THOMAS D. AB - Abstract Sir.—The resident seminar "Differential Diagnosis of Cataracts in Infancy and Children" (Am J Dis Child 130:184, 1976) will be a useful reference. There are a number of points that deserve mention. The review overlooked cataracts associated with atopic dermatitis.1.2 With the high incidence of atopic dermatitis (3% to 5% of the general pediatric population), this may be an important exclusion. Perhaps a slit-lamp examination should be routinely ordered for the child with chronic, moderate to severe eczema. Finally, corticosteroids are commonly used to treat chronic disorders such as asthma, rheumatoid arthritis, and chronic renal disease. The incidence of cataracts in cortico steroid-treated patients varies from 10% to 38% in reported studies.3.4 We currently recommend that a slit-lamp examination be performed at least every six months on all patients receiving corticosteroids regularly. This simple examination will complete the comprehensive care of children placed on long-term corticosteroid therapy. References 1. Norins AL: Atopic dermatitis . Pediatr Clin North Am 18:801-838, 1971. 2. Brusting LA, Reed WB, Bair HL: Occurrence of cataracts and keratoconus with atopic dermatitis . Arch Dermatol 72:237-241, 1955.Crossref 3. Dunand P, Chai H, Weltman D, et al: Posterior polar cataracts and steroid therapy in children , abstracted. J Allergy Clin Immunol 55:123, 1975. 4. Havre DC: Cataracts in children on long-term corticosteroid therapy . Arch Ophthalmol 73:818-821, 1965.Crossref TI - Diagnosis of Cataracts JF - American Journal of Diseases of Children DO - 10.1001/archpedi.1976.02120130083026 DA - 1976-12-01 UR - https://www.deepdyve.com/lp/american-medical-association/diagnosis-of-cataracts-pA2des0Nk0 SP - 1377 EP - 1378 VL - 130 IS - 12 DP - DeepDyve ER -