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Evidence checklist

Bullous Disorders (Pemphigus)

DC 781538 CFR § 4.118Skin

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
Skin biopsy with direct immunofluorescenceCritical

A biopsy that uses special staining to confirm pemphigus or pemphigoid. This is the gold standard test and strongly supports your claim.

Private provider · independent opinion
Body surface area estimate during active blisteringCritical

A dermatologist should document what percentage of your body is covered in blisters during active flares.

Private provider · independent opinion
Nexus opinion linking bullous disorder to serviceCritical

A medical opinion connecting your blistering condition to medication exposure, chemical exposure, or onset during military service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records (corticosteroids, immunosuppressives, biologics)Critical

Records showing systemic medications used. Most pemphigus patients need constant immunosuppressive therapy, which supports a higher rating.

VA or private records · written request
Documentation of oral or mucosal involvement

If you have blisters in your mouth, throat, or other mucous membranes, this should be documented as it significantly affects quality of life.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Skin DiseasesCritical

A standardized VA form capturing blister extent, body surface area, treatment requirements, and mucosal involvement.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.