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Statements of Principles

Sinusitis - Immunocompromised state Factor

For the purposes of this Statement of Principles, an immunocompromised state means a state where the immune response has been attenuated by administration of immunosuppressive drugs, or by irradiation, certain types of infection, malnutrition, or a malignant disease process.

In most cases, medical advice will be needed to establish whether or not the veteran is in an immunocompromised state.

 

LAST REVIEWED FOR CCPS 16 JULY 2003.

PRELIMINARY QUESTIONS [13239]

13472 there is some evidence that being in an immunocompromised state may be a factor in the development or worsening of the condition under consideration.

7445     the veteran has been in an immunocompromised state at some time.ý

10098  the veteran's immunocompromised state was due to an illness or injury which is identifiable. [Default true]

13278  the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and VEA service for chronic sinusitis.

13247 as a consequence of the identified illness or injury, the veteran was in an immunocompromised state at the time of the clinical onset of the condition under consideration.

13279   the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and VEA service for the clinical onset of chronic sinusitis.

13280  the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and operational service for the clinical onset of chronic sinusitis.

or

13281  the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and eligible service for the clinical onset of chronic sinusitis.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

13248 as a consequence of the identified illness or injury, the veteran was in an immunocompromised state at the time of the clinical worsening of the condition under consideration.

14035   the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and VEA service for the clinical worsening of chronic sinusitis.

13243  the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and operational service for the clinical worsening of chronic sinusitis.

or

13244  the veteran has established the causal connection between the identified illness or injury which caused the immuno-compromised state and eligible service for the clinical worsening of chronic sinusitis.

CLINICAL ONSET AND OPERATIONAL SERVICE [13280]

7451     the identified illness or injury which caused the immunocompromised state is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [13281]

7452     the identified illness or injury which caused the immunocompromised state is causally related to eligible service.

CLINICAL WORSENING AND OPERATIONAL SERVICE [13243]

7451     the identified illness or injury which caused the immunocompromised state is causally related to operational service.

16248 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury which caused the immunocompromised state is causally related.

CLINICAL WORSENING AND ELIGIBLE SERVICE [13244]

7452     the identified illness or injury which caused the immunocompromised state is causally related to eligible service.

16249 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury which caused the immunocompromised state is causally related.