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A come back when someone is being exceptionally stupid. This is a short form for "a slight case of the downs" implying that they have a [mental disability] but not a severe one. Typically this is defined when someone is caught being completely weird by themselves, being a [little bit] too clumsy or doing something without thinking at all ! Someone who has a slight case can also graduate to a "Full Case"at any moment [without warning] ! be alert
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