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Evidence checklist

Immune Thrombocytopenic Purpura (ITP)

DC 770538 CFR § 4.117Hematologic/Lymphatic

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
Bone marrow biopsy (if performed) to confirm ITP

A bone marrow biopsy may be done to rule out other causes of low platelets. This strengthens the ITP diagnosis.

Private provider · independent opinion
Nexus opinion linking ITP to serviceCritical

A medical opinion connecting your low platelet condition to infections, vaccinations, medications, or autoimmune triggers during military service.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Serial platelet counts documenting severityCritical

Blood tests showing your platelet levels over time. Lower counts mean more severe disease and higher bleeding risk.

VA or private records · written request
Treatment records (steroids, IVIG, splenectomy, TPO agonists)Critical

Records of all treatments tried. The intensity of treatment needed helps determine your rating level.

VA or private records · written request
Documentation of bleeding episodes

Records of bruising, nosebleeds, gum bleeding, or internal bleeding caused by low platelets.

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 Hematologic and Lymphatic ConditionsCritical

A standardized VA form capturing platelet counts, treatment history, bleeding episodes, and functional impact.

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
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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