Occupational lung disease from inhaling crystalline silica dust causing lung scarring and inflammation. Three forms: chronic (most common, 10-20 years exposure), accelerated (5-10 years exposure), and acute (weeks to 5 years heavy exposure). Symptoms include progressive dyspnea, cough, chest pain, and increased infection susceptibility. No cure; can progress to respiratory failure.
Severe symptoms. Dyspnea at rest, FEV1 <40% predicted, requiring continuous oxygen, severe cor pulmonale, or progressive massive fibrosis
Moderate symptoms. Dyspnea with moderate exertion, FEV1 40-60% predicted, requiring oxygen with activity or complicated by cor pulmonale
Mild symptoms. Slight dyspnea on exertion, FEV1 60-80% predicted, minimal functional limitation
Asymptomatic with radiographic evidence only
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 silicosis 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 silicosis, 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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