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March 1978

Familial Occurrence of Meralgia Paraesthetica

Author Affiliations

Department of Neurology National Naval Medical Center Bethesda, Md 20014

Arch Neurol. 1978;35(3):182. doi:10.1001/archneur.1978.00500270064016

To the Editor.—  Nacke1 in 1895 spoke of the heredity disposition to meralgia paraesthetica. The appearance of this disorder in several families has been reported, and a recent personal observation has prompted this comment.A 16-year-old high school boy noticed numbness and discomfort in his left thigh. On examination, there was an area of anesthesia on the lateral aspect of his thigh in the distribution of the anterior branch of the lateral femoral cutaneous nerve. Otherwise, the examination was normal. There was no systemic disorder nor background of trauma.Later it was found that his maternal grandmother and a maternal aunt had had similar areas of sensory loss for many years.Since Nacke's report, other authors have mentioned the familial occurrence of meralgia. In 1900, Musser and Sailer2 reported a distinct hereditary influence in a patient whose father had suffered from exactly the same condition, and the maternal

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