Inherited blood disorder causing red blood cells to become rigid and sickle-shaped, leading to pain crises, organ damage, and anemia. Sickled cells block blood flow, causing tissue ischemia and infarction. Complications include stroke, acute chest syndrome, splenic dysfunction, and chronic organ damage. Symptoms include severe pain episodes, fatigue, jaundice, and increased infection susceptibility.
With at least 4 or more painful episodes per 12-month period, occurring in skin, joints, bones, or any major organs, caused by hemolysis and sickling of red blood cells, with anemia, thrombosis, and infarction, with residual symptoms precluding even light manual labor
With 3 painful episodes per 12-month period or with symptoms precluding other than light manual labor
With 1 or 2 painful episodes per 12-month period
Asymptomatic, established case in remission, but with identifiable organ impairment
Sickle cell trait alone without symptoms (not ratable)
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 sickle cell 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 sickle cell 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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