A 38-Year-Old Man with Systemic Sclerosis and Erectile Dysfunction

摘要: Scleroderma occurs much more commonly in women than men but the clinical features are similar. However, with scleroderma have characteristic problems sexual function. In particular, erectile dysfunction (ED) has been recognized for nearly 30 years and between 27% 81% of scleroderma. Moreover, ED may be an early often overriding symptom likely results from microvascular fibrotic abnormalities this disorder that manifested penis. Careful evaluation should include attention to occupational exposure, medications known associated ED, symptoms depression assessment comorbidities including smoking, diabetes mellitus, hypertension, peripheral vascular disease. Traditional vasodilators on-demand phosphodiesterase inhibitors not had proven benefit improve if administered at higher doses or regular intervals. Urological is also important management male