Painful feet as the presenting symptom of mononeuritis multiplex in a 47-year-old woman with systemic lupus erythematosus

Key points A 47-year-old French-speaking woman of African descent presented to the emergency department with a 1-week history of severe foot pain and difficulty walking. For the preceding 2 months she had had weakness in both ankles. She had no injury. Her medical history included sickle cell trait