I currently was given a rating of 10% for psoriasis by the VA. There C.F.R. Title 38, part 4, section 7816, states a constant or near constant systematic therapy such as corticosteroids or other immunosuppressive drugs required during the past 12 month period should have a rating of 60%. They reviewed my military medical file that showed I was treated for psoriasis while in the military. I also explained that I have been taken Enbrel for the past 6 years. They still awarded me 10%. I sent in an appeal letter with my private physicians medical record proving that I am currently on Enbrel and a copy of their C.F.R. I just received a letter stating they need additional evidence like:
-evidence showing that your service connected psoriasis has increased in severity.
-treatment records related to your claimed conditions include reports or statements from doctors, hospitals, laboratories which dates of treatment, findings, diagnoses should be included.
I have two questions. First, where does it say in the C.F.R. that the condition has to be increased in severity? They have my military records which shows there treatment in 1988 and I sent in the documents stating that I have been on Enbrel for the past six years. Wouldn't this show an increase in severity? Secondly, how can the VA give a rating based on the amount of area on the body that is affected by psoriasis if you are taken medication at the time you are seen by CFR examiner and your medication keeps your flare ups under control? Please any insight about this would be appreciated. Thanks.