The Board remands the claims for service connection for immune thrombocytopenia (ITP) and chronic fatigue syndrome (CFS) to obtain additional evidence, including a new examination that complies with the requirements of the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxins Act of 2022 (PACT Act).
The deciding factor: The opinions of record do not comply with the holding in Stewart v. Wilkie and fail to account for relevant evidence, including the Veteran's competent lay statements regarding his symptoms.
- Claimed conditions
- chronic fatigue syndrome (CFS), immune thrombocytopenia (ITP)
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Gulf War
- Rating assigned
- None in this decision
- Decision date
- April 28, 2025
- Citation
- A25038726
Veterans Law Judge
Decisions by this judge: 2,249 · Granted: 37% (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 A25038726.
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 Board has denied service connection for chronic rhinitis, chronic sinusitis, and chronic fatigue syndrome as there is no evidence of a current disability in the record.
- Dismissed
The Veteran withdrew her appeals for the service connection of multiple conditions, including low back disability, bilateral foot disability, cervical spine disability, migraines, right hand and shoulder disabilities, right wrist disability, asthma (claimed as Gulf War Syndrome), chronic fatigue syndrome, dysmenorrhea, irritable bowel syndrome, and sleep disability. As a result, these claims are dismissed.
- Dismissed
The Veteran withdrew his appeals for all issues related to sleep wake disorder, CFS, and service-connected back scars.
- Remanded (sent back)
The Veteran's appeal seeking revision or reversal of the August 2011 decision on service connection for shin splints of the right leg is dismissed.,The Veteran's appeal seeking revision or reversal of the August 2011 decision on service connection for shin splints of the left leg is dismissed.,The Veteran's appeals seeking revision or reversal of the August 2011 decisions on service connection for chronic fatigue syndrome (CFS), sinusitis, a right shoulder condition, and a back condition are remanded.
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