Talwar Ambika, Baharani Jyoti
Core Medical Trainee, Birmingham Heartlands Hospital, Birmingham, UK.
BMJ Case Rep. 2012 Jun 12;2012:bcr0120125590. doi: 10.1136/bcr.01.2012.5590.
A 53-year-old woman with a history of end-stage renal disease on peritoneal dialysis (PD) presented with a 3-month history of intermittent numbness and paraesthesia over the anterior aspect of the right thigh. The patient noticed the pain was worse on walking and related to dialysis sessions. An examination revealed no neurovascular abnormalities or abdominal masses. However, there was subjective paraesthesia in the distribution of the right lateral cutaneous nerve. Subsequent nerve conduction studies revealed the cause of the patient's symptoms. She was diagnosed with meralgia paraesthetica. Her symptoms resolved when the dialysis regime was modified.
一名53岁的女性,有终末期肾病病史,正在接受腹膜透析,出现右大腿前侧间歇性麻木和感觉异常3个月。患者注意到行走时疼痛加重,且与透析疗程有关。检查未发现神经血管异常或腹部肿块。然而,右侧皮神经分布区域存在主观感觉异常。随后的神经传导研究揭示了患者症状的原因。她被诊断为股外侧皮神经麻痹。调整透析方案后,她的症状得到缓解。