In 1991, Congress passed the Agent Orange Act, directing the Veteran’s Administration (VA) to presume that specific disease could be tied to chemical exposure related to a soldier’s service in Vietnam.
Agent Orange Act of 1991 - Presumes the following diseases to be service-connected and resulting from exposure to dioxins and other herbicide agents during service in Vietnam during the Vietnam era unless there is affirmative evidence to the contrary: (1) non-Hodgkins lymphoma, each soft-tissue sarcoma (with certain exceptions), and chloracne or other consistent acneform diseases becoming manifest to a degree of disability of ten percent or more; and (2) those additional diseases that the Secretary determines warrant such a presumption by reason of having a positive association with a herbicide agent, if they become manifest within the appropriate period.
Veterans who have been diagnosed with cutaneous lymphoma and have had their benefits challenged by the VA, may be asked to have their physician produce a nexus letter. A "nexus letter" is a document prepared for a claimant by a medical professional that explicitly connects an in-service event to the current medical condition for which a claimant is seeking compensation.
It’s recommended to have the nexus letter state that veteran has a “NON HODGKINS LYMPHOMA” rather than the specific diagnosis, for example mycosis fungoides. Claims with specific diagnosis have been denied as the term “mycosis fungoides” is not listed on the VA list of illness related to participation in the Vietnam War but Non Hodgkins Lymphoma is.
Additionally, veterans need to show that they were deployed to Vietnam during the war.
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