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Ramsay Hunt syndrome
  1. Kotaro Kunitomo
  1. Aso Medical Center, Internal Medicine, Fukuoka, Japan
  1. Correspondence to Dr Kotaro Kunitomo, Aso, Japan; m05035kk{at}

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A 56-year-old Japanese woman with no remarkable medical history presented at our emergency department with mouth drooping. She experienced right ear pain since 3 days. She had no dizziness or tinnitus.

Physical examination revealed asymmetry of the face, a partially closing right eye, and an unwrinkled right forehead (figure 1, left and middle). The right ear had a cluster of vesicles …

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