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In terms of the immune checkpoint, however, viral and cancer strategies appear different.Our case demonstrates the rare presentation of sinonasal sarcoidosis causing severe nasal obstruction. While the patient had a remote history of pulmonary sarcoidosis, she was in remission and had no prior history of sinonasal involvement. Sarcoidosis should be considered in a patient with nasal obstruction especially when there is a history of systemic sarcoid disease. We aimed to determine whether the prognostic value of the shock index (SI) and i