Erectile Failure in Systemic Sclerosis

To the Editor: Krane et al. (Dec. 14 issue) 1 have provided a comprehensive review of the pathophysiology, diagnosis, and treatment of impotence. Common causes of male erectile failure are categorized according to evolving concepts of pathophysiology. We would like to emphasize the association of im...

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Veröffentlicht in:The New England journal of medicine 1990-05, Vol.322 (19), p.1398-1399
Hauptverfasser: Lally, E V, Jimenez, S A
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Jimenez, S A
description To the Editor: Krane et al. (Dec. 14 issue) 1 have provided a comprehensive review of the pathophysiology, diagnosis, and treatment of impotence. Common causes of male erectile failure are categorized according to evolving concepts of pathophysiology. We would like to emphasize the association of impotence with systemic sclerosis (scleroderma), since this may be an early presenting symptom of this rheumatic disease. Impotence in association with systemic sclerosis was first described in 1981 2 and was attributed to microvascular abnormalities, neurogenic abnormalities, or both. In a recent review of systemic sclerosis, 3 we noted the occurrence of erectile failure in 7 of 24 . . .
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(Dec. 14 issue) 1 have provided a comprehensive review of the pathophysiology, diagnosis, and treatment of impotence. Common causes of male erectile failure are categorized according to evolving concepts of pathophysiology. We would like to emphasize the association of impotence with systemic sclerosis (scleroderma), since this may be an early presenting symptom of this rheumatic disease. Impotence in association with systemic sclerosis was first described in 1981 2 and was attributed to microvascular abnormalities, neurogenic abnormalities, or both. 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subjects Erectile Dysfunction - etiology
Humans
Male
Penile Erection
Scleroderma, Systemic - complications
Scleroderma, Systemic - physiopathology
title Erectile Failure in Systemic Sclerosis
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