A 58-year-old man was studied for mild chronic anemia of 6 years' duration. Familial and personal history of the patient was irrelevant and he took no medication. He complained only of erectile dysfunction for the past 10 years. Initial blood count showed a mild normocytic and normochromic anemia (hemoglobin 12.1 g/dL, normal range [N] 13.0-17.0; hematocrit 34.2%, N 40-54; mean corpuscular volume 89.4 fL, N 82-98; mean corpuscular hemoglobin [MCH] 31.0 pg, N 27-31; MCH concentration 35.5 g/dL, N 32-37, with normal white blood cell (4600/mm3, N 4000-11,000) and platelet (123,000/mm3, N 140,000-450,000) counts. On physical examination, his weight was 76.2 kg, height 164 cm, blood pressure 130/90 mm Hg, and heart rate 64 beats per minute. The patient had loss of facial, axillary, and pubic ha...
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