A Typical Presentation of Ramsay Hunt Syndrome (RHS): A Case Report

Background: Ramsay Hunt Syndrome (RHS) typically presents with a vesicular rash around the ear and facial paralysis. This case highlights an atypical presentation with rash distributed over cervical dermatomes.

Case presentation: A 55-year-old Sudanese woman presented with left-sided mouth deviation and difficulty closing her right eye following a vesicular rash on the right side of her head, ear, neck, and submandibular area. Initial misdiagnosis as dermatitis delayed appropriate treatment.

Conclusion: Awareness of atypical presentations of RHS is crucial for timely diagnosis and management. Early treatment with antivirals and corticosteroids significantly improves outcomes.