Chloracne (chemical-induced severe acne)

To support a rating for chloracne, the most important evidence is documentation of the type and location of your acne lesions. Medical records or VA examination findings that identify deep inflamed nodules and pus-filled cysts — and distinguish them from superficial lesions such as comedones, papules, or pustules — are central to reaching the 10%, 20%, or 30% levels.

For the 30% level, records or exam notes should show that deep lesions cover 40 percent or more of the face and neck. For 20%, documentation should confirm deep lesions in intertriginous areas such as the underarms, anogenital region, breast folds, or between digits. For 10%, records should show deep lesions covering less than 40 percent of the face and neck, or deep lesions elsewhere on the body outside of intertriginous areas.

Photographs taken at medical visits can help document the extent and location of lesions over time. If scarring or disfigurement has developed, records describing the appearance and location of those changes would support rating under the scar or disfigurement codes. Statements from you describing how your skin condition affects daily activities may also be relevant to the overall picture.