Meralgia paresthetica caused by inguinal lymphadenopathy related to tinea pedis infection: A case report

Giray, Esra; Yolcu, Günay; Yağcı, İlker

doi:10.5606/tftrd.2020.4459

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…In addition, multiple causes of LFCN compression have been reported around the SIAS, including hemangiomatosis [ 56 ], heterotopic ossification [ 57 , 58 ] and a pelvic osteochondroma [ 59 ]. Finally, multiple distal sites of compression have been found to cause symptoms of meralgia paresthetica including lipoma/lipomatosis [ 60 , 61 ], fibrosis of the sartorius muscle [ 62 ], inguinal lymphadenopathy [ 63 ], femoral acetabular impingement [ 64 ], giant hemorrhagic trochanteric bursitis [ 65 ] and a schwannoma inside the LFCN [ 66 ]. Besides cases with a cause of compression along the course of the LFCN, also cases have been reported on more diffuse compression by increased intra-abdominal pressure: one bilateral case due to pelvic inflammatory disease [ 67 ] and one case after peritoneal dialysis [ 68 ].…”

Section: Resultsmentioning

confidence: 99%

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Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

et al. 2023

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Meralgia paresthetica is often idiopathic, but sometimes symptoms may be caused by traumatic injury to the lateral femoral cutaneous nerve (LFCN) or compression of this nerve by a mass lesion. In this article the literature is reviewed on unusual causes for meralgia paresthetica, including different types of traumatic injury and compression of the LFCN by mass lesions. In addition, the experience from our center with the surgical treatment of unusual causes of meralgia paresthetica is presented. A PubMed search was performed on unusual causes for meralgia paresthetica. Specific attention was paid to factors that may have predisposed to LFCN injury and clues that may have pointed at a mass lesion. Moreover, our own database on all surgically treated cases of meralgia paresthetica between April 2014 and September 2022 was reviewed to identify unusual causes for meralgia paresthetica. A total of 66 articles was identified that reported results on unusual causes for meralgia paresthetica: 37 on traumatic injuries of the LFCN and 29 on compression of the LFCN by mass lesions. Most frequent cause of traumatic injury in the literature was iatrogenic, including different procedures around the anterior superior iliac spine, intra-abdominal procedures and positioning for surgery. In our own surgical database of 187 cases, there were 14 cases of traumatic LFCN injury and 4 cases in which symptoms were related to a mass lesion. It is important to consider traumatic causes or compression by a mass lesion in patients that present with meralgia paresthetica. Supplementary Information The online version contains supplementary material available at 10.1007/s10143-023-02023-2.

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Section: Resultsmentioning

confidence: 99%

“…The exact pathophysiologic mechanism in these cases remains unclear, but it may be explained by extension of the intra-abdominal contention and secondary compression of the LFCN. Another explanation could be inguinal lymphadenopathy [ 63 ]. In our experience ultrasound (US) is helpful to rule other mass lesions around the ASIS.…”

Section: Discussionmentioning

confidence: 99%

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

et al. 2023

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“…Approximately 16.8% of patients in the German registry reported sore throat and difficulty in swallowing because of cervical lymphadenopathy. Inguinal lymphadenopathy on the other hand often leads to groin pain but can also induce meralgia paresthetica or even entrapment of the femoral nerve with severe pain and sensory disturbances (such as tingling) in the leg [ 14 , 15 , 16 ].…”

Section: Clinical Nociceptive Manifestations During the Current Outbreakmentioning

confidence: 99%

Integrated Analgesic Care in the Current Human Monkeypox Outbreak: Perspectives on an Integrated and Holistic Approach Combining Old Allies with Innovative Technologies

2022

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Monkeypox (MPX) is a zoonotic infection caused by an orthopoxvirus that is endemic to Central and Western Africa. The MPX virus is a part of the same family of viruses as the variola virus, which causes smallpox. Since May 2022, there has been a global increase in the incidence of MPX infections in multiple countries where the illness is not usually prevalent. A growing number of publications have emphasized on the need for increased awareness among all health professionals for the rapid recognition and diagnosis of this disease and for proper public health measures. However, atypical presentations and occurrence of uncommon symptoms receive less than the desired attention. More specifically, MPX infection related nociceptive symptoms are currently underexposed. Nevertheless, reports from the current outbreak have revealed that (severe) pain is one of the major causes for distress and even hospitalization in these patients. As for all serious pain conditions, an integrated, multidisciplinary, and holistic approach is indicated. This approach should be multimodal and include non-pharmacological therapies alongside pharmacological approaches. Health care professionals should be aware of available alternatives when first choice analgesic therapies fail. Protocols for identification of pain type and prolonged monitoring of clinical status should be implemented to improve patient well-being during acute infection, but also prevent chronic nociceptive syndromes.

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Meralgia paresthetica caused by inguinal lymphadenopathy related to tinea pedis infection: A case report

Cited by 2 publications

References 14 publications

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience

Integrated Analgesic Care in the Current Human Monkeypox Outbreak: Perspectives on an Integrated and Holistic Approach Combining Old Allies with Innovative Technologies

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