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Table 2 The clinical characteristics of Grisel’s syndrome in patients with Kawasaki disease

From: Grisel’s syndrome in Kawasaki disease

Patient 1 2 3 4 5 6 7 8 9 10
Age(years), Sex 6.6, F 5.7, M 3.7, F 7.2, F 6.3, F 6.2, M 7.3, F 3.5, F 4.5, F 5.2, F
Initial admitted Department Neurology Surgeon Cardiology Cardiology Surgeon Cardiology Cardiology Cardiology Cardiology Cardiology
Primary diagnosis Lymphnoditis, Aseptic meningitis Lymphnoditis Lymphnoditis Lymphnoditis Lymphnoditis, GS Lymphnoditis, GS Lymphnoditis Lymphnoditis Tonsillitis Lymphnoditis
Days before the diagnosis of GS 5 5 2 6 4 8 10 4 7 8
Days before the diagnosis of KD 7 8 5 6 5 8 6 6 7 6
Fever days before IVIG treatment 7 9 5 6 6 9 7 6 9 7
Principal clinical features of KD 1, 2, 3, 6 1, 2, 5, 6 1, 3, 5, 6 1,3, 6 2, 3, 6 1,2,3,4, 6 1,2,3,5,6 1,2,3,4,5,6 1, 2, 4, 5, 6 1, 2, 3, 6
Incomplete KD + + + + + +
IVIG resistance
CALs
Clinical features of GS
 Torticollis/Neck pain +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/+ +/−
 Lymphadenopathy, size(mm) Ra, 4.5*5.0 La, 2.5*2.5 L, 3.5*3.0 L, 2.0*2.0 L, 1.5*2.0 L, 1.5*2.5 R, 1.9*3.6 L, 1.8*2.7 R, 2.5*1.6 L, 3.0*4.0
 Fielding classification Type I Type III Type I Type I Type III Type II Type II Type I Type III Type III
 Rotatory dislocation Right Left Left Left Right Left Left Left Left Left
 Treatment Conservative Conservative Conservative Conservative Conservative Conservative Conservative Conservative Conservative Conservative
 Duration treatment 1 month 2 months 14 days 7 days 1.5 months 21 days 21 days 7 days 3 months 2.5 months
  1. Principal clinical features of KD:1. Fever for at least 5 days; 2. Bilateral bulbar conjunctival injection without exudate; 3. Changes in lips and oral cavity;4. Changes in extremities; 5. Polymorphous exanthem; 6. Cervical lymphadenopathy
  2. aR, right side; L, left side