VA Disability Rating for Pellagra (DC 6315)
Diagnostic Code 6315 · 38 CFR §4.88b
What Is It?
Pellagra is caused by severe niacin (vitamin B3) deficiency, characterized by dermatitis, diarrhea, and dementia. It is a presumptive condition for former POWs. Permanent neurological damage may remain if untreated for too long.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia. |
| 60% | All symptoms listed for the 40 percent level plus mental symptoms and impaired bodily vigor. |
| 40% | Stomatitis with diarrhea and symmetrical dermatitis all present together. |
| 20% | Stomatitis (mouth inflammation), or achlorhydria (absent stomach acid), or diarrhea. |
| 10% | Confirmed diagnosis with nonspecific symptoms such as decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability. |
Evidence Needed
Lab results confirming niacin deficiency. Medical records documenting pellagra and its three manifestations. POW documentation if applicable. Treatment records. Documentation of permanent damage.
C&P Exam Tips
Describe which classic symptoms you experienced. Bring documentation of cognitive changes. Show skin changes. Report ongoing digestive symptoms. POWs should note presumptive eligibility.
How to File
File under DC 6315. POWs should reference presumptive eligibility. File separate claims for permanent neurological, skin, or digestive damage.
Common Mistakes
Common mistakes include POWs not knowing it is presumptive, not claiming cognitive impairment separately, filing only under nutritional code, and not documenting pre-treatment severity.
Frequently Asked Questions
Is pellagra presumptive for POWs?
Yes, for former POWs detained 30 or more days.
Can pellagra cause permanent brain damage?
Yes. Pellagrous dementia can become permanent if left untreated long enough. Even after niacin is restored, some cognitive impairment may persist.