Autoimmune disorder causing destruction of platelets, leading to increased bleeding risk. Immune system produces antibodies against platelets, resulting in low platelet counts. Symptoms include easy bruising, petechiae (small red/purple spots), prolonged bleeding from cuts, nosebleeds, bleeding gums, blood in urine or stool, and heavy menstrual periods. Severe cases can cause life-threatening bleeding.
Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment
Requiring immunosuppressive therapy; or for a platelet count higher than 30,000 but not higher than 50,000, with history of hospitalization because of severe bleeding requiring intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions
Platelet count higher than 30,000 but not higher than 50,000, with either immune thrombocytopenia or mild mucous membrane bleeding which requires oral corticosteroid therapy or intravenous immune globulin
Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment
Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia 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 immune thrombocytopenia 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 immune thrombocytopenia, 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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