Premature destruction of red blood cells from autoimmune causes, infections, medications, or mechanical damage. Immune-mediated (warm or cold antibody) most common. Symptoms include fatigue, jaundice, dark urine, splenomegaly, and sometimes hemolysis crisis. May require immunosuppression, splenectomy, or blood transfusions.
Requiring bone marrow transplant or continuous intravenous or immunosuppressive therapy (100% for 6 months post-transplant, then re-evaluate)
Requiring immunosuppressive medication 4 or more times per 12-month period
Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period
Requiring one course of immunosuppressive therapy per 12-month period
Asymptomatic, in remission
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how acquired hemolytic anemia affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for acquired hemolytic anemia, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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