Meralgia paraesthetica: an unusual complication in peritoneal dialysis.
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.
Core Medical Trainee, Birmingham Heartlands Hospital, Birmingham, UK. ambitalwar@googlemail.com
Ambika
A
Talwar
Jyoti
J
Baharani
D005260:Female; D020428:Femoral Neuropathy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000503:physiopathology; D009431:Neural Conduction; D010530:Peritoneal Dialysis / Q000009:adverse effects*