Insulin-dependent diabetes mellitus presenting with ketoalkalosis in Rett syndrome.

@article{Cameron1997InsulindependentDM,
  title={Insulin-dependent diabetes mellitus presenting with ketoalkalosis in Rett syndrome.},
  author={Fergus J Cameron and Kay C. Hawkins and Vaman V. Khadilkar and Robert C. Tasker and Mary Anne Preece},
  journal={Diabetic medicine : a journal of the British Diabetic Association},
  year={1997},
  volume={14 10},
  pages={884-5}
}
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.