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6309
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Rheumatic fever

An inflammatory disease following streptococcal infection that may affect the heart, joints, and nervous system.

What the rating means

Rheumatic fever is rated under the General Rating Formula for Infectious Diseases. While the disease is active, VA rates it at 100 percent. Once the active disease has resolved, the infection itself is rated at 0 percent. However, rheumatic fever can leave lasting damage to the body, and VA rates any such residual disability separately under the body system it affects. Heart damage is specifically named as an example of a residual condition that would be rated this way. That means the overall disability picture for a Veteran with rheumatic fever may include both the resolved infection and one or more separately rated residuals, each evaluated under the rules for the affected body system.

Evidence that helps

During the active phase, medical records documenting a current diagnosis and ongoing disease activity support a 100 percent rating. Once the disease has resolved, evidence that helps most is documentation of lasting damage caused by the infection. For heart involvement, this could include cardiology records, echocardiogram results, electrocardiograms, or records of valve damage or heart failure. For damage to other body systems, records from the relevant specialist and diagnostic test results showing the nature and severity of the impairment are key. Statements from you or people who know you describing how residual symptoms affect your work, daily activities, and physical functioning can also help show the severity of any lasting disability that is being rated under the appropriate body system.

Secondary conditions

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.