The Board granted service connection for Lewy body dementia with parkinsonism and special monthly compensation (SMC) based on the need for aid and attendance, but denied service connection for skin disability, residuals of shrapnel wounds, bilateral upper and lower extremity peripheral neuropathy, and psychiatric disorder.

The deciding factor: The evidence was approximately evenly balanced as to whether Lewy body dementia with parkinsonism was related to toxic exposure risk activities during active duty service. The Board granted SMC based on the need for aid and attendance due to the Veteran's service-connected Lewy body dementia with parkinsonism prior to his death.

Claimed conditions

Lewy body dementia with parkinsonism, skin disability (rosacea, steroid-induced acne/folliculitis, urticaria), residuals of shrapnel wounds to stomach, left hip, and spinal cord, bilateral upper extremity peripheral neuropathy, bilateral lower extremity peripheral neuropathy, psychiatric disorder (PTSD)

How they argued it

Presumptive (no nexus needed)

Exposure basis

None

Rating assigned

100%

Decision date

November 24, 2025

Citation

25014292

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