Moy Wai Lun
Department of General Medicine, Sengkang General Hospital, Singapore.
Oxf Med Case Reports. 2021 Nov 25;2021(11):omab112. doi: 10.1093/omcr/omab112. eCollection 2021 Nov.
Meralgia paresthetica (MP) is a condition characterised by abnormal sensations on the anterolateral aspect of the thigh due to the dysfunction of the lateral femoral cutaneous nerve. Here, I present a case of a 64-year-old female cook who attended the General Medicine clinic with 2 months of persistent numbness and 'burning' sensation over the right anterolateral thigh. Subsequent physical examination revealed the diagnosis of meralgia paresthetica. The significance of good history taking and thorough physical examination in reaching the diagnosis of meralgia paresthetica cannot be overemphasized. In most typical presentations, advanced imaging and neurodiagnostic testing do not add value to confirm the diagnosis. If the clinical diagnosis is doubtful, nerve conduction study and magnetic resonance imaging may still be performed to exclude other mimicking pathologies. Increasing awareness of MP among doctors unfamiliar with this condition will prevent the ordering of excessive investigations.
股外侧皮神经痛（MP）是一种由于股外侧皮神经功能障碍而导致大腿前外侧出现异常感觉的病症。在此，我介绍一例64岁的女性厨师，她因右大腿前外侧持续2个月的麻木和“烧灼感”前往普通内科门诊就诊。随后的体格检查确诊为股外侧皮神经痛。详细的病史采集和全面的体格检查对于诊断股外侧皮神经痛的重要性无论如何强调都不为过。在大多数典型病例中，先进的影像学检查和神经诊断测试对确诊并无帮助。如果临床诊断存疑，仍可进行神经传导研究和磁共振成像以排除其他类似病症。提高不熟悉此病的医生对股外侧皮神经痛的认识，将避免不必要的过度检查。
