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Evidence checklist

Discoid Lupus Erythematosus

DC 780938 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 confirming discoid lupus diagnosisCritical

A small sample of affected skin examined under a microscope. A biopsy with direct immunofluorescence is the strongest proof of discoid lupus.

Private provider · independent opinion
Body surface area estimate by dermatologistCritical

Your dermatologist should document what percentage of your body and exposed areas are affected by lupus lesions and scarring.

Private provider · independent opinion
Nexus opinion linking discoid lupus to serviceCritical

A medical opinion connecting your lupus to sun exposure during service, stress, or onset during military duty.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Treatment records (hydroxychloroquine, immunosuppressives)Critical

Records showing medications used. Hydroxychloroquine (Plaquenil) and other immunosuppressive pills count as systemic therapy for VA rating purposes.

VA or private records · written request
03

Lay statements

0 of 3 collected
Photographs of active lesions and scarring

Photos taken during flares showing red, scaly patches and any permanent scarring or hair loss from previous flares.

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Skin DiseasesCritical

A standardized VA form documenting lesion extent, scarring, treatment type, and body surface area affected.

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

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