Femoral neuropathy in a patient with rheumatoid arthritis.
Femoral mononeuropathy (FMN) as an extraarticular finding of rheumatoid arthritis (RA) is a phenomenon which has not been reported previously. We report a 53-year-old female patient with RA, presenting FMN findings during the course of the disease. On examination, right quadriceps and iliopsoas muscles showed grade 3 weakness on the Medical Research Council (MRC) scale. Sensory examination revealed sensory loss in the right medial leg and thigh. Patellar tendon reflex was absent in the right side. A diagnosis of a partial right femoral neuropathy was confirmed using nerve conduction study and electromyography. The probable mechanism of FMN was thought to be vasculitis.
Genc
Hakan
H
2nd Department of Physical Medicine and Rehabilitation, Ministry of Health, Ankara Education and Research Hospital, Ulucanlar Caddesi, 06340 Cebeci, Ankara, Turkey. hakangenc06@hotmail.com
Balaban
Ozlem
O
Karagoz
Aynur
A
Erdem
Hatice Rana
HR
D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000000981:diagnostic imaging; D004576:Electromyography; D005260:Female; D020428:Femoral Neuropathy / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006225:Hand / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D009431:Neural Conduction; D011859:Radiography