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September 3, 2026Annals of Internal Medicine Clinical CasesOpen Access

A Woman With Facial Weakness and Vesicular Lesions

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Authors

PBPaul BellmannMLMaximilian LammerBBBarbara Böckle

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Overview

Case report demonstrates gradual neurologic recovery following prompt antiviral and corticosteroid therapy in an older adult with Ramsay Hunt syndrome, highlighting the value of early diagnosis.

Key Points

  • To describe the clinical presentation, bedside diagnostic confirmation, and therapeutic response in an acute case of Ramsay Hunt syndrome.
  • Clinical evaluation of an 86-year-old woman presenting with acute unilateral facial weakness, otalgia, hearing loss, and vesicular lesions.
  • Diagnostic confirmation using vesicle-based polymerase chain reaction (PCR) and Tzanck smear.
  • Therapeutic intervention consisting of prompt antiviral therapy, corticosteroids, and supportive care.
  • Polymerase chain reaction and Tzanck smear of vesicle fluid confirmed the diagnosis of herpes zoster oticus.
  • Prompt initiation of combined antiviral and corticosteroid therapy led to gradual neurologic recovery.

Cite This Study

Bellmann et al. (2026) studied this question.

synapsesocial.com/papers/6a9935f3636c6408cfa7e9d2https://doi.org/10.7326/aimcc.2025.1282
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