Ramsay Hunt Syndrome in a Patient with Rheumatoid Arthritis after Treatment with Infliximab

Figure 3

Initial clinical course of Ramsay Hunt syndrome. At 3 days after the onset, the treatment was started with valaciclovir 3000 mg for 7 days and hydrocortisone sodium succinate for 9 days (500 mg for 3 days, 300 mg for 3 days, and 100 mg for 3 days), followed by another course of hydrocortisone sodium succinate with the same dose for 9 days. Vesicles, recurrent laryngeal nerve paralysis, and glossopharyngeal nerve paralysis were relieved soon after the treatment but facial nerve paralysis continued.