External
Repatriation Medical Authority Statement

Thromboangiitis obliterans - Cigar smoking Factor

Last reviewed for CCPS 09 September 2009.

Investigative Documents

Claimant Report - Smoking [CRD905]

Claimant Report - Smoking [CRV905]

Preliminary questions [9732]

26916

there is some evidence that cigar smoking may be a factor in the development or worsening of the condition under consideration.

4915 the veteran has ever smoked cigars.

9748 — the veteran has established the causal connection between the cigar smoking and VEA service for thromboangiitis obliterans.

9749 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of thromboangiitis obliterans.

9751 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of thromboangiitis obliterans.

or

9752 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of thromboangiitis obliterans.

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.

9750 — the veteran has established the causal connection between the cigar smoking and VEA service for the clinical worsening of thromboangiitis obliterans.

9753 — the veteran has established the causal connection between the cigar smoking and operational service for the clinical worsening of thromboangiitis obliterans.

or

40590 — the veteran has established the causal connection between the cigar smoking and eligible service for the clinical worsening of thromboangiitis obliterans.

Clinical onset and operational service [9751]

9754 — the veteran smoked at least three pack years of cigars before the clinical onset of thromboangiitis obliterans.

40599

the veteran smoked at least three pack years of cigars within the six years before the clinical onset of thromboangiitis obliterans.

4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service.

Clinical onset and eligible service [9752]

9995 — the veteran has smoked at least three pack years of cigars before the clinical onset of thromboangiitis obliterans.

40600

the veteran smoked at least three pack years of cigars within the three years before the clinical onset of thromboangiitis obliterans.

4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service.

Clinical worsening and operational service [9753]

9755 — the veteran smoked at least half a pack year of cigars before the clinical worsening of thromboangiitis obliterans.

40601

the veteran smoked at least half a pack year of cigars within the one year before the clinical worsening of thromboangiitis obliterans.

4921 — the veteran has some period or periods of cigar smoking that are causally related to operational service.

9196

the clinical onset of the condition under consideration occurred prior to that part of operational service to which the period or periods of cigar smoking are causally related.

Clinical worsening and eligible service [40590]

40598 — the veteran has smoked at least half a pack year of cigars before the clinical worsening of thromboangiitis obliterans.

40602

the veteran has smoked at least half a pack year of cigars within the one year before the clinical worsening of thromboangiitis obliterans.

4922 — the veteran has some period or periods of cigar smoking that are causally related to eligible service.

9197

the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the period or periods of cigar smoking are causally related.