Reynards……. Almost a 67 year old male. My mother had lupus or slow derma (1922-1969) passed away at 46. I had just turned eleven. Ever since I’ve been 20 I’ve had MS like symptoms many other issues but in 2020 finally had Reynards showing up and scleroderma . It’s affected my hands and genital area. 20 mg of Cialis daily has helped me. Cialis has kept my hands fingers and thumbs from black discoloration and my genital area from getting ulcers on the gland..