Anterior Thigh Pain–Meralgia Paresthetica or Something Worse?

Meralgia paresthetica is a compression neuropathy of the lateral femoral cutaneous nerve at the groin.

The patient in this case, who was on a complex anticoagulant regiment, had anterior thigh pain secondary to a retroperitoneal bleed.

Thus any acute lower extremity neurologic dysfunction should lead to consideration off retroperitoneal bleed in a patient on anticoagulation in addition to consideration of a cerebrovascular accident.

On with the case:

Mayo Clinic Proceedings
The Mayo Foundation for Medical Education and Research
73-Year-Old Woman With Anterior Thigh Pain
Megan L. Krause, MD and Jason A. Post, MD [PMC Full Text] [Full Text PDF]

A rare cause of meralgia paresthetica is hypothroidism.

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