CHAD L. DEAL, M.D.; JUAN J. CANOSO, M.D.
To the editor: We read with great interest the letter by Radvan and Vidikan (1) on meralgia paresthetica in patients with liver disease, in which they suggested that entrapment of the lateral cutaneous nerve of the thigh results from mechanical factors such as stretching of the abdominal wall caused by ascites or massive hepatomegaly.
The recent observation of an obese patient whose symptoms of meralgia paresthetica were triggered when sitting but relieved when lying down led us to consider an additional pathogenetic mechanism: external compression of the nerve by the weight of a big abdomen. We studied groin pressures in
DEAL CL, CANOSO JJ. Meralgia Paresthetica and Large Abdomens. Ann Intern Med. ;96:787–788. doi: 10.7326/0003-4819-96-6-787_2
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Published: Ann Intern Med. 1982;96(6_part_1):787-788.
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