Bone marrow disorder with fibrous tissue replacement, leading to anemia and enlarged spleen
The evidence that matters most for this condition ties directly to what treatment you are receiving and what your blood counts show.
For the 100% rating, medical records showing a hospital admission for a peripheral blood or bone marrow stem cell transplant, chemotherapy, or interferon treatment are central. Discharge summaries, admission dates, and treatment records help establish both that the treatment occurred and when it ended.
For the 70% rating, records showing that continuous or intermittent myelosuppressive therapy, chemotherapy, or interferon treatment is prescribed, along with laboratory results showing platelet counts below 500 × 10/L, support this level.
For the 30% rating, prescription records and lab results showing platelet counts in the 200,000–400,000 range or white blood cell counts of 4,000–10,000 while on therapy are relevant.
For any rating level, treatment records from your hematologist or oncologist, pharmacy records showing current prescriptions, and dated laboratory reports are the most direct forms of evidence. Statements from you or those who know you describing how symptoms and treatment affect your daily life and ability to work can also support your overall picture.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
