Popsugar Beauty Beauty News First Woman With Down Syndrome in Miss USA State Pageant Mikayla Is the First Woman With Down Syndrome to Compete in a Miss USA State Pageant December 10, 2017 by Perri Konecky First Published: November 27, 2017 View On One Page Photo 2 of 5 ADVERTISEMENT () Start Slideshow Thank you Ksana and Jodi for supporting me!! 💕@dancinghippo27 @wowfactorsports A post shared by Mikayla Holmgren (@mikholmgren_inspiring_others) on Nov 25, 2017 at 10:37pm PST Share This Link Copy ← Use Arrow Keys → 2 Previous Next Start Slideshow Beauty NewsPageantsMiss USADown Syndrome