Histological demonstration of sarcoidosis affecting the paranasal sinu
s is rare in the clinical practice. In this paper, we present a case w
ith a diagnosis of lupus pernio with extensive involvement of the nasa
l cavity and the right maxillary sinus, Long before being diagnosed as
having lupus pernio, the patient had had a long history of nasal obst
ruction and had been treated surgically without success on 3 occasions
, The literature on the topic is reviewed.