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February 13, 1978

Meralgia Paraesthetica in Physicians

JAMA. 1978;239(7):614-615. doi:10.1001/jama.1978.03280340034010

To the Editor.—  Subsequent to my article (237:1125, 1977) on meralgia paraesthetica, I received numerous letters from physicians with the entity. Their histories and comments were quite interesting. Most notable among the seven physicians who wrote that they suffered from this condition was an 82-year-old proctologist (retired in California) who has had the problem since 1926. Most could not relate a definite cause of their problem. Several mentioned that they had colleagues who also suffered with meralgia paraesthetica.These letters prompted me to reexamine the historical incidence of this notorious mononeuropathy. Many authors have written on the subject and included their own involvement with the syndrome. The number of physicians among the patients with meralgia paraesthetica is very conspicuous.Näcke1 suffered from meralgia, and as early as 1895 he spoke of the hereditary disposition of this disease. Escat2 and Freud3 reported their own cases in 1895 and