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Evidence checklist

Cystic Acne

DC 782838 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 2 collected
Dermatology evaluation documenting deep acne (nodules and cysts)Critical

A dermatologist must confirm you have deep acne with inflamed nodules and pus-filled cysts, not just surface pimples. Only deep acne qualifies for a compensable rating.

Private provider · independent opinion
Nexus opinion linking cystic acne to serviceCritical

A medical opinion connecting your acne to stress, helmet wear, chemical exposure, humid conditions, or onset during military service.

Private provider · independent opinion
02

C&P examination

0 of 1 collected
Documentation of percentage of face/neck affectedCritical

The examiner should estimate what percentage of your face and neck has deep cystic acne. The 30% rating requires 40% or more of the face and neck to be affected.

VA-scheduled · request a copy on VA.govHow to get this →
03

Treatment records

0 of 1 collected
Treatment records (Accutane, systemic antibiotics)

Records showing oral medications tried, including isotretinoin (Accutane) and long-term antibiotics.

VA or private records · written request
04

Lay statements

0 of 3 collected
Photographs of cystic lesions and scarring

Clear photos showing the depth and extent of acne lesions on your face, neck, and body.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Skin DiseasesCritical

A standardized VA form documenting the type of acne (superficial vs deep), extent, and affected areas.

Provider-completed · VA DBQ formHow to get this →
06

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.