SHAUL SUKENIK, M.D.; JACOB HOROWITZ, M.D.; DAN BUSKILA, M.D.; JACOB M. ABARBANEL, M.D.; LEONARD LISMER, M.D.; ILANA AVINOACH, M.D.
To the editor: Nowlin and associates (1) reported the cases of six patients with scleroderma who were impotent. The pathogenesis of impotence in scleroderma is not known, and the authors raise the possibility that involvement of penile small arteries may be of importance.
We recently reported (2) a unique case of progressive systemic sclerosis in a 45-year-old man with impotence, bilateral carpal tunnel syndrome, and peripheral neuropathy as presenting symptoms. Biopsy sample of the sural nerve did not show any evidence of vasculitis or infiltration of the nerve, but electron microscopy showed electron-opaque bodies and collagen pockets in many unmyelinated
SUKENIK S, HOROWITZ J, BUSKILA D, ABARBANEL JM, LISMER L, AVINOACH I. Impotence in Systemic Sclerosis. Ann Intern Med. ;106:910–911. doi: 10.7326/0003-4819-106-6-910_3
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Published: Ann Intern Med. 1987;106(6):910-911.
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