I'm sure this is a good patch, but before you freak out, here's the line he's probably referring to:

        if ((RAND_status() == 0) && rsa->d != NULL && rsa->d->d != NULL)
                {
                /* if PRNG is not properly seeded, resort to secret
                 * exponent as unpredictable seed */
                RAND_add(rsa->d->d, rsa->d->dmax * sizeof rsa->d->d[0], 0.0);
                }

This line is equivalent to "if you are already totally and royally fucked, do something cosmetic to pretend otherwise".

The line occurs during the setup for RSA blinding, which is the only point in the core RSA code (outside keygen) that requires randomness --- blinding mixes a random integer into the otherwise deterministic RSA operation, to foil timing analysis. The code should probably abort when that condition happens. I think, at first glance, that the condition never really happens on normal systems.