Yonsei Med J.  2007 Oct;48(5):891-893. 10.3349/ymj.2007.48.5.891.

Femoral Neuropathy in a Patient with Rheumatoid Arthritis

• Genc H
• Balaban O
• Karagoz A
• Erdem HR

• KMID: 1122633
• DOI: http://doi.org/10.3349/ymj.2007.48.5.891

Abstract

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.

Keyword

Femoral mononeuropathy; rheumatoid arthritis

MeSH Terms

Arthritis, Rheumatoid/*complications/radiography
Electromyography
Female
Femoral Neuropathy/complications/*diagnosis/therapy
Hand/radiography
Humans
Middle Aged
Neural Conduction

Figure

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  Fig. 1 Hand radiographs of the patient showing bilateral erosive arthritis of hands and wrists.

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