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A lot - across all age groups.
Both pediatrics and adults in my general practice.
More of in adults than in children.
Herpes is only a possibility as it cannot be ascertained for sure - anti viral therapy is always initiated to be on the safer side.
What you read is true - but it is not an all or none phenomenon.
I have seen cases recovering well even after steroids are initiated after 10 days too.
It can be a childhood chicken pox too.
There are no specific tests and hence the treatment is started empirically here.
Ramsay Hunt syndrome diagnosis is based on medical history, a physical exam, and the disorder's distinctive signs and symptoms. To confirm the diagnosis, your doctor might take a sample of fluid from one of the rash blisters in your ear for testing....it there any rash - but not a possibility here.