Cirrhosis of the liver - Methotrexate Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Medical Report - Methotrexate - Cirrhosis of the Liver [MR9405]
Preliminary questions [20507]
there is some evidence that treatment with methotrexate may be a factor in the development or worsening of the condition under consideration.20568 the veteran has been treated with methotrexate as specified in the reasonable hypothesis Statement of Principles for cirrhosis of the liver at some time.
the treatment with methotrexate as specified in the reasonable hypothesis Statement of Principles for cirrhosis of the liver was materially contributed to by treatment of an illness or injury which is identifiable.20569 — the veteran has established the causal connection between the treatment with methotrexate and VEA service for cirrhosis of the liver.
20570 — the veteran has established the causal connection between the treatment with methotrexate and VEA service for the clinical onset of cirrhosis of the liver.
20573 — the veteran has established the causal connection between the treatment with methotrexate and eligible service for the clinical onset of cirrhosis of the liver.
or
20572 — the veteran has established the causal connection between the treatment with methotrexate and operational service for the clinical onset of cirrhosis of the liver.
or
the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened.20571 — the veteran has established the causal connection between the treatment with methotrexate and VEA service for the clinical worsening of cirrhosis of the liver.
20575 — the veteran has established the causal connection between the treatment with methotrexate and eligible service for the clinical worsening of cirrhosis of the liver.
or
20574 — the veteran has established the causal connection between the treatment with methotrexate and operational service for the clinical worsening of cirrhosis of the liver.
Clinical onset and operational service [20572]
the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the reasonable hypothesis Statement of Principles before the clinical onset of cirrhosis of the liver.20581 — the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the reasonable hypothesis Statement of Principles for cirrhosis of the liver is causally related to operational service.
Clinical onset and eligible service [20573]
the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles for cirrhosis of the liver. the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles before the clinical onset of cirrhosis of the liver.20582 — the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles for cirrhosis of the liver is causally related to eligible service.
Clinical worsening and operational service [20574]
the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the reasonable hypothesis Statement of Principles after the clinical onset of cirrhosis of the liver and before its clinical worsening.20581 — the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the reasonable hypothesis Statement of Principles for cirrhosis of the liver is causally related to operational service.
the clinical onset of cirrhosis of the liver occurred prior to that part of operational service to which the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the reasonable hypothesis Statement of Principles for cirrhosis of the liver is causally related.Clinical worsening and eligible service [20575]
the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles for cirrhosis of the liver. the identified illness or injury made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles after the clinical onset of cirrhosis of the liver and before its clinical worsening.20582 — the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles for cirrhosis of the liver is causally related to eligible service.
the clinical onset of cirrhosis of the liver occurred prior to that part of eligible service to which the identified illness or injury which made a material contribution to the veteran being treated with methotrexate as specified in the balance of probabilities Statement of Principles for cirrhosis of the liver is causally related.