title: Ramsay hunt syndrome in a patient with rheumatoid arthritis after treatment with infliximab.
abstract: A 39-year-old female patient with rheumatoid arthritis developed Ramsay Hunt syndrome after infliximab treatment. This condition is caused by the reactivation of varicella zoster virus infection in the geniculate ganglion of facial nerve in the host's immunosuppression. She was treated immediately with valaciclovir and hydrocortisone, and the complete recovery was achieved at 6 months after the onset. This is the first report of Ramsay Hunt syndrome as an adverse effect of infliximab in rheumatoid arthritis.
authors.affiliation: Department of Orthopaedic Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai 591-8025, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Nagayama
authors.affiliation: Department of Otolaryngology, Osaka Police Hospital, 10-31 Kitayamacho, Tennoji-ku, Osaka 543-0035, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsushiro
authors.affiliation: Department of Orthopaedic Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai 591-8025, Japan.
authors.forename: Akihide
authors.initials: A
authors.lastname: Nampei
authors.affiliation: Rinku Hashimoto Rheumatology Orthopaedics, 1 Rinku Orai kita, Izumisano, Osaka 598-0048, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Hashimoto
authors.affiliation: Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, Japan.
authors.forename: Kenrin
authors.initials: K
authors.lastname: Shi