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Insulin-dependent diabetes mellitus presenting with ketoalkalosis in Rett syndrome
F J Cameron1, K C Hawkins, V V Khadilkar
1Department of Endocrinology, Great Ormond Street Hospital for Sick Children NHS Trust, London, UK.
Diabetic Medicine : a Journal of the British Diabetic Association
|November 26, 1997
Abstract:
A 9-year-old girl with Rett syndrome presented with typical symptoms of insulin-dependent diabetes mellitus. Upon investigation she was found to have a primary respiratory alkalosis associated with diabetes ketoacidaemia. Once non-ketotic normoglycaemia was achieved her respiratory alkalosis persisted. This was felt to be due to an abnormal breathing pattern of hyperventilation punctuated by apnoeas which is associated with Rett syndrome.