Evidence Checklist: Raynaud's Disease

Vascular studies documenting vasospasm (digital plethysmography or cold challenge)Critical

Digital plethysmography or cold provocation studies documenting vasospastic response. These studies objectively confirm the diagnosis and severity of Raynaud's phenomenon.

Rheumatology or vascular specialist evaluationCritical

Specialist evaluation documenting frequency of attacks, color changes (white-blue-red triphasic response), digits affected, and any digital ulceration or ischemia.

Nexus opinion linking Raynaud's to service ("at least as likely as not")Critical

A medical opinion connecting Raynaud's to cold injury during service, vibration tool exposure (hand-arm vibration syndrome), service-connected connective tissue disease, or other service-related cause.

Autoimmune laboratory workup (ANA, anti-Scl-70, etc.)

Lab results ruling in or out secondary Raynaud's associated with connective tissue disease. Secondary Raynaud's is often more severe and may affect rating.

Treatment records (calcium channel blockers, vasodilators)

Medication records and treatment history documenting therapy and symptom response.

Photographs of digit color changes during attacks

Dated photographs documenting the characteristic color changes (pallor, cyanosis, erythema) in fingers or toes during Raynaud's episodes.

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.

Completed DBQ Artery and Vein ConditionsCritical

Standardized form capturing vasospasm findings, affected digits, ulceration status, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.