Abstract
A 24-year-old male with a 3-year history of limited cutaneous systemic sclerosis (LcSS) was referred to the urology clinic by his rheumatologist because of erectile dysfunction (ED). He complained of his worsening ED over the past two years. His international index of erectile function (IIEF) score was 5, indicating severe ED. He reported no morning erection and experienced some degree of turgidity without rigidity in sexual occasions. Digital ulcers and gastroesophageal reflux were his only presentations other than ED. His history was negative for pulmonary hypertension and renal crisis.
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