The Board has remanded the case due to insufficient evidence regarding whether the Veteran's PNH is secondary to his service-connected diabetes mellitus or aggravated by it, and also because no opinion was provided on the relationship between PNH and contaminated water exposure at Camp Lejeune.
The deciding factor: The decision is based on the need for an addendum medical opinion regarding the nature and etiology of the Veteran's PNH, specifically addressing whether it is secondary to his service-connected diabetes mellitus or aggravated by it.
- Claimed conditions
- paroxysmal nocturnal hemoglobinuria (PNH)
- How they argued it
- Secondary to another service-connected condition
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- November 18, 2020
- Citation
- 20074144
Veterans Law Judge
Decisions by this judge: 1,810 · Granted: 23% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 20074144.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board remands the claims for service connection for paroxysmal nocturnal hemoglobinuria (PNH) and migraines due to inadequate medical opinions.
- Granted
Service connection for paroxysmal nocturnal hemoglobinuria (PNH) is granted. The Board found that PNH was at least as likely as not due to service-connected aplastic anemia.
- Remanded (sent back)
The Board has remanded the case due to incomplete service records and a need for a new VA examination to determine if the Veteran's PNH is related to his exposure to contaminated water at Camp Lejeune, including whether it falls under the presumptive conditions.
- Granted
The Board has determined that the Veteran's headaches are at least as likely as not caused by his service-connected traumatic brain injury, and thus grants service connection for this condition.
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