We present a young girl with Down syndrome and West syndrome who was referred to a paediatric gastroenterologist due to the suspicion of gastroesophageal reflux disease and coeliac disease. 

She was born in a family of healthy parents and has two older siblings, of which one has atopic dermatitis, and one has Gilbert’s syndrome. There is no coeliac disease in the family. After being born from a maintained pregnancy, she was breastfed for one month, and then milk formula was introduced. Supplementation of solid foods was introduced from 6 months, which she accepted, but prefers mixed or crushed food. She eats gluten regularly. Stools are regular, once daily. She is followed by geneticists and paediatric neurologists for Down and West syndrome and pulmonologists due to refractory bronchitis. Health care professionals are invited to discuss the case of the month, please visit our information exchange platform.

Photo by Edward Jenner from Pexels