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johnpaul6483

Exam results Warts, Lichen Simplex Chronicus

Question

I received results for a part of my exam, does this appear to meet the standard for compensation? I never had an warts prior to military service. I was treated over 17 times for persistent warts while in. After the warts in the sames locations on body continue to come back. I stay on top of them so I only had a few when at my appointment about 5 or so. I just had a significant breakout on feet knee and finger but like I said I treated them and they are either gone or small, I know they will come back. The doctor states at the bottom  "warts ,affecting less than 5% of total body area, lichen simplex about 1% of total body area .c file reviewed str reviewed ,veteran was diagnosed & treated for these skin conditions in service & is as likely as not related to military service". But they were first diagnosed during military service and persist today.... I researched and believe that I did not meet the threshold of compensation, just wanted to get an other opinion, thanks.

   Is this DBQ being completed in conjunction with a VA 21-2507, C&P 
Examination
    Request?
    [X] Yes   [ ] No
    

 ACE and Evidence Review
    -----------------------
    Indicate method used to obtain medical information to complete this 
document:
    
    [X] In-person examination
    

    Evidence Review
    ---------------
    Evidence reviewed (check all that apply):
    
    [X] VA e-folder (VBMS or Virtual VA)
    [X] CPRS


    1. Diagnosis:
    -------------
    Does the Veteran now have or has he/she ever had a skin condition?
    [X] Yes   [ ] No
    
        [X] Other skin condition
              Other diagnosis #1: VERRUCA VULGARIS
                                      Date of diagnosis: 2001
               
              Other diagnosis #2: lichen simplex chronicus
                                      Date of diagnosis: 2001                                 
               
    2. Medical History
    ------------------
    a. Describe the history (including onset and course) of the Veteran's skin
       conditions (brief summary):
          h/o warts in knees  left index finger & plantar aspect of both feet
          since 2001 ,it is recurring had treatment multiple times with liquid
          nitrogen  at present veteran is using over the counter
          medication.veteran also gives h/o rash in left big toe since 2001 c/o
          irritaition & irching diagnosed as lichen simplex chronicus  use s
          topical steroid cream
          
    b. Do any of the Veteran's skin conditions cause scarring (regardless of
       location), or disfigurement of the head, face or neck?
       [ ] Yes   [X] No
       
    c. Does the Veteran have any benign or malignant skin neoplasms (including
       malignant melanoma)?
       [ ] Yes   [X] No
       
    d. Does the Veteran have any systemic manifestations due to any skin 
diseases
       (such as fever, weight loss or hypoproteinemia associated with skin
       conditions such as erythroderma)?
       [ ] Yes   [X] No
       
    e. Comments, if any:
          No response provided.
          
    3. Treatment
    ------------
    a. Has the Veteran been treated with oral or topical medications in the past
       12 months for any skin condition?
       [X] Yes   [ ] No
       
          [X] Topical corticosteroids
                If checked, list medication(s): hydrocortisone
                Specify condition medication used for: lichen simplex chronicus
                  Total duration of medication use in past 12 months:
                     [ ] < 6 weeks
                     [X] 6 weeks or more, but not constant
                     [ ] Constant/near-constant

          [X] Other topical medications
                If checked, list medication(s): Trichloroacetic acid
                Specify condition medication used for: warts

    b. Has the Veteran had any treatments or procedures other than systemic or
       topical medications in the past 12 months for exfoliative dermatitis or
       papulosquamous disorders?
       [ ] Yes   [X] No
       
    4. Debilitating and non-debilitating episodes
    ---------------------------------------------
    a. Has the Veteran had any debilitating episodes in the past 12 months due 
to
       urticaria, primary cutaneous vasculitis, erythema multiforme, or toxic
       epidermal necrolysis?
       [ ] Yes   [X] No
       
    b. Has the Veteran had any non-debilitating episodes of urticaria, primary
       cutaneous vasculitis, erythema multiforme, or toxic epidermal necrolysis
       in the past 12 months?
       [ ] Yes   [X] No
       
    5. Physical exam
    ----------------
    a. Indicate the Veteran's visible skin conditions; indicate the approximate
       total body area and approximate total EXPOSED body area (face, neck and
       hands) affected on current examination (check all that apply):
       
       [X] The Veteran does not have any of the above listed visible skin
           conditions

    6. Specific Skin Conditions
    ---------------------------
    Indicate the Veteran's specific skin conditions and complete all applicable
    subsequent questions (check all that apply):
    
    [X] Veteran does not have any of the specific skin conditions listed above
    
    7. Tumors and neoplasms
    -----------------------
    a. Does the Veteran have a benign or malignant neoplasm or metastases 
related
       to any of the diagnoses in the Diagnosis section?
       [ ] Yes   [X] No
       
    8. Other pertinent physical findings, complications, conditions, signs or
       symptoms
    
-----------------------------------------------------------------------------
    a. Does the Veteran have any other pertinent physical findings,
       complications, conditions, signs or symptoms related to any conditions
       listed in the Diagnosis Section above?
       [X] Yes   [ ] No
       
           If yes, describe:
             rash noted on dorsal aspect of left big toe ,from lichen simplex
             ,less than 1 %,few warts noted in both feet & left index finger
             skin surface is about 5 %
             
    b. Comments, if any:
          No response provided.
          
    9. Functional impact
    --------------------
    Do any of the Veteran's skin conditions impact his or her ability to work?
    [ ] Yes   [X] No
    
    10. Remarks, if any:
    --------------------
        warts ,affecting less than 5% of total body area,lichen simplex   about 
1
        % of total body area .c file reviewed str reviewed ,veteran was 
diagnosed
        & treated for these skin conditions in service & is as likely as not
        related to military service

/es/ 
Attending Physician, Ambulatory Care

Edited by johnpaul6483
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This BVA decision has some rating info on this disability:

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1540563.txt

 

 

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At least 5% for Lichen Simplex. Looks like I will not meet the standard. Perhaps for the verruca vulgaris I will meet since it is listed as 5%.

Thanks for the info!

Edited by johnpaul6483
to say thanks

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