The Board has remanded the case due to insufficient compliance with prior remand directives and a need for additional medical opinion regarding service connection for the cause of the Veteran's death.
The deciding factor: The VA examiner did not address whether the Veteran's TTP/HUS were directly caused by his presumed exposure to herbicides in Vietnam, including Agent Orange.
- Claimed conditions
- thrombotic thrombocytopenic purpura (TTP), hemolytic-uremic syndrome (HUS)
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Agent Orange / herbicides
- Rating assigned
- None in this decision
- Decision date
- December 14, 2021
- Citation
- 21074088
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 21074088.
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.
- Denied
The Veteran's claims for service connection for TTP, amyloidosis, and prostate cancer were denied as they are not supported by evidence showing a causal relationship to service prior to the PACT Act of August 10, 2022.
- Remanded (sent back)
The Board has remanded the case due to insufficient evidence regarding the Veteran's service connection for his cause of death, specifically whether he received a blood transfusion during service. The VA is instructed to obtain clinical records from Vietnam and provide an addendum opinion on the relationship between the Veteran's conditions and his service.
- Denied
The Board denied service connection for thrombotic thrombocarpenturpura (TTP) and psychiatric disability due to lack of evidence linking the conditions to service, including exposure to herbicides.
- Remanded (sent back)
The Veteran's TTP is being remanded for additional development, including obtaining private treatment records and an updated VA examination to assess the current severity of his disability.
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