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Requests for reprints should be addressed to Satvinder Singh Bakshi, MS, DNB, Department of ENT and Head & Neck Surgery, All India Institute of Medical Sciences Mangalagiri, House 1A, Selvam Apartments, 71 Krishna Nagar Main Road, Krishna Nagar, Pondicherry 605008, India.
A 48-year-old male patient presented with left-sided earache and deviation of the
mouth to the right side for 3 days. He had no similar previous history. Examination
revealed an inflamed pinna with vesicles on its surface (Figure 1) and lower motor neuron VII nerve palsy (Figure 2). A diagnosis of Ramsay Hunt syndrome was made and the patient was started on oral
prednisolone 50 mg tapered over 10 days along with acyclovir 800 mg 5 times a day.
The lesions gradually resolved completely and the patient is asymptomatic at 2 months
follow-up.
Figure 1Inflammation of the left-side pinna with vesicles.
Authorship: Conception or design of the work –SSB, SR, CSA; Data collection – SSB, CSA; Data analysis and interpretation – SSB, SR; Drafting the article – SSB, SR, CSA; Critical revision of the article – SSB, SR, CSA; Final approval of the version to be published – SSB, SR, CSA.