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December 28, 1984

Meralgia Paresthetica From a Wallet

Author Affiliations

Methodist-Children's Hospital Omaha

JAMA. 1984;252(24):3368. doi:10.1001/jama.1984.03350240018026

To the Editor.—  Dr J. R. Boyce's1 informative letter, "Meralgia Paresthetica and Tight Trousers," recalled to mind similar symptoms I recently experienced. Having grown up near the inner city, I soon learned that if a wallet was carried, it was safer in the front than in the rear pants pocket. This compromise, coupled with a chronically thin wallet, caused no problems until after completion of medical school and postgraduate education. As credit cards and membership cards proliferated, I noticed an aching, burning sensation along the left anterolateral thigh on the side of the wallet. It also was worse while driving any distance. This continued for months. Thinning the wallet of superfluous papers and even buying a thinner wallet didn't help. However, after switching the wallet to the back pocket (after all, what's worth more, your money or your health?), the symptoms abated. Apparently once the lateral cutaneous femoral nerve