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It could be Ramsey-Hunt Syndrome. The "pain and rash" referred to is too general to determine exactly what is meant, but it could mean the condition known as shingles.

This syndrome a combination of shingles from the reactivated herpes zoster virus (chickenpox) in an area near the Facial Nerve. The rash and blisters cause an inflammation of that nerve which then causes Bell's Palsy. Of course, "pain and rash" as the question puts it is so general in nature it can mean anything. Pain where? Rash where? What kind of pain? What kind of rash? If the "pain and rash" is something other than shingles, then it is not Ramsey-Hunt Syndrome.

It becomes academic, however, because the palsy is still Bell's Palsy as long as it was caused by damage to the Facial Nerve and not some other damage. If the shingles did cause the BP, then treating the shingles with anti-viral medications may speed recovery from the shingles and once the shingles are gone, so will the source of the nerve inflammation. That means that facial muscle movement will most likely return.

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Q: Bell's palsy with pain and rash?
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