The Board granted service connection for irritable bowel syndrome, solar lentigines, and acne as manifestations of a medically unexplained chronic multi-symptom illness (MUCMI), while denying an increased rating for PTSD with residuals of traumatic brain injury. The Board also granted initial ratings for migraine and tension headaches, right upper extremity carpal tunnel syndrome, and left upper extremity carpal tunnel syndrome.

The deciding factor: The decision was based on the Veteran's service in Southwest Asia during the Persian Gulf War and the application of presumptive service connection under the PACT Act.

Claimed conditions

arthritis, left knee patellofemoral syndrome, right knee patellofemoral syndrome, lumbosacral strain, left ankle arthroscopy with synovectomy and loose body removal with anterior talofibular collateral ligament tear, right forearm scar, irritable bowel syndrome (IBS), solar lentigines, acne, posttraumatic stress disorder (PTSD) with residuals of traumatic brain injury (TBI), migraine and tension headaches, right upper extremity carpal tunnel syndrome, left upper extremity carpal tunnel syndrome

How they argued it

Presumptive (no nexus needed)

Exposure basis

None

Rating assigned

None in this decision

Decision date

November 6, 2025

Citation

A25096654

Want to see how appeals like this one tend to go? Appeals like mine