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June 5, 1991

Meralgia Paresthetica Syringectica

Author Affiliations

VA Medical Center Philadelphia, Pa

VA Medical Center Philadelphia, Pa

JAMA. 1991;265(21):2807-2808. doi:10.1001/jama.1991.03460210053015

To the Editor.—  Meralgia paresthetica is characterized by pain, burning, or tingling paresthesias, and decreased touch and pain sensation on the anterolateral aspect of the thigh. It is due to neuropathy of the lateral femoral cutaneous nerve. At least 80 causes for this condition have been reported.1 We add another.

Report of a Case.—  A 35-year-old, male intravenous drug abuser was admitted to the hospital for cocaine detoxification. He denied injecting cocaine in the legs. Ten years earlier, he underwent a right inguinal herniorrhaphy. There was numbness in the anterolateral aspect of the right thigh of 2 weeks' duration. Examination revealed decreased to absent touch and pain sensation in the anterolateral aspect of the right thigh. There was no reflex or motor deficit indicative of other L2-3 involvement and this was confirmed by electromyogram.Nerve conduction studies showed absence of sensory conduction in the lateral femoral cutaneous nerve on