Evidence Checklist: Cushing's Syndrome
DC 7907
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Endocrinology evaluation and treatment recordsCritical
Records documenting the cause (pituitary, adrenal, ectopic ACTH, exogenous steroid use), treatment, and outcome.
Nexus opinion linking Cushing's to service or prolonged steroid use for SC conditionCritical
Medical opinion connecting Cushing's syndrome to service, including iatrogenic Cushing's from long-term steroid therapy for a service-connected condition.
Diagnostic Tests & Lab Results
Cortisol testing: 24-hr UFC, late-night salivary cortisol, dexamethasone suppression testCritical
Laboratory workup confirming hypercortisolism. Multiple tests are typically needed for diagnosis per Endocrine Society guidelines.
Pituitary MRI and adrenal CT results
Imaging to identify pituitary adenoma or adrenal source of excess cortisol.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.