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Femoral Neuropathy in a Patient with Rheumatoid Arthritis
Hakan Genc,Ozlem Balaban,Aynur Karagoz,Hatice Rana Erdem 연세대학교의과대학 2007 Yonsei medical journal Vol.48 No.5
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.