Cancer of plasma cells in bone marrow causing bone destruction, anemia, kidney damage, and increased infections. Produces abnormal proteins (M-protein) causing hyperviscosity and other complications. Symptoms include bone pain, fractures, fatigue, recurrent infections, hypercalcemia, and kidney dysfunction. Often incurable but treatable; significant morbidity and mortality.
Symptomatic multiple myeloma - continues for 5 years from diagnosis, then re-evaluate. Active disease causes bone lesions, anemia, hypercalcemia, or renal insufficiency.
Asymptomatic, smoldering, or monoclonal gammopathy of undetermined significance (MGUS)
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 multiple myeloma 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 multiple myeloma, 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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