The Board denied an increased rating in excess of 60 percent for asthma with obstructive sleep apnea as the evidence did not support a higher disability rating.

The Board granted service connection for hypertension as secondary to the Veteran's service-connected OSA, restored a 60 percent rating for asthma with obstructive sleep apnea, and granted a 20 percent rating for dry eye syndrome during the period on appeal from September 17, 2023, to October 11, 2024. The Board denied a higher rating for unspecified depressive disorder.

The Board granted service connection for a right knee disability and bilateral onychomycosis, as secondary to bilateral tinea pedis, while denying or remanding the other issues.

The Board remands the matter to obtain an adequate examination that clarifies whether high dose corticosteroids or immuno-suppressive medications are required for the Veteran's asthma, as well as to address other inconsistencies in the medical evidence.

The veteran's service connection for COPD and emphysema was granted. A 100 percent rating for asthma with OSA and special monthly compensation were also granted. However, a compensable evaluation for allergic rhinitis was denied, and the issue of service connection for urinary incontinence was remanded.