Priapism of the Nasal Turbinates in Sickle Cell Anemia

Patient selection: sickle cell anemia

Mechanism: vascular occlusion and engorgement, mimicking priapism of the penis

Clinical features:

(1) nasal obstruction

(2) nasal pain

(3) turbinates swollen on exam, blocking air flow

(4) exclusion of other diagnoses

The condition is made worse by the use of topical vasoconstrictors.

Management should focus on correcting any condition that may have precipitated the event (dehydration, infection, etc) plus supplemental oxygen.

The turbinates can be resected if the condition is a significant problem for the patient.