The Veteran's service connection claims for various conditions, including sleep apnea, chloracne, keratosis, melanoma residuals, vasovagal syncope, cubital tunnel syndrome, celiac disease, erectile dysfunction, and kidney disorder are denied. The Board has remanded several of these issues for further examination and opinion.

The deciding factor: The evidence does not support a link between the Veteran's service-connected PTSD and his current sleep apnea or other conditions.

Claimed conditions

{"condition_name":"Obstructive Sleep Apnea","diagnosis_notes":"The Veteran’s obstructive sleep apnea is not related to his service-connected posttraumatic stress disorder (PTSD)."}, {"condition_name":"Chloracne","diagnosis_notes":"There is no competent evidence suggesting the Veteran's chloracne is related to his service-connected PTSD."}, {"condition_name":"Keratosis","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed keratosis had its onset during, or is otherwise related to, service, to include his exposure to herbicides."}, {"condition_name":"Residuals of Melanoma on the Left Side of the Face","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed residuals of melanoma are related to service, to include exposure to herbicides."}, {"condition_name":"Vasovagal Syncope, Including Ischemic Heart Disease (IHD)","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed heart disorder had its onset during, or is otherwise related to, service, to include exposure to herbicides."}, {"condition_name":"Cubital Tunnel Syndrome of the Left Upper Extremity","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that his left upper extremity disorder had its onset during, or is otherwise related to, service, to include exposure to herbicides."}, {"condition_name":"Celiac Disease","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed celiac disease had its onset during, or is otherwise related to, service, to include exposure to herbicides."}, {"condition_name":"Erectile Dysfunction","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that the Veteran’s erectile dysfunction had its onset during, or is otherwise related to, service, to include exposure to herbicides."}, {"condition_name":"Respiratory Disorder","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed respiratory disorder had its onset during, or is otherwise related to, service, to include exposure to herbicides."}, {"condition_name":"Kidney Disorder","diagnosis_notes":"The examiner should address whether it is at least as likely as not (50 percent or greater probability) that any diagnosed kidney disorder had its onset during, or is otherwise related to, service, to include exposure to herbicides."}

How they argued it

Direct service connection

Exposure basis