Downloaded from https://www.everyspec.com (3) Psoriatic arthritis. (4) Arthritis associated with inflammatory bowel disease. (5) Whipple’s disease. k. Systemic lupus erythematosus. That interferes with successful performance of duty or requires geographic assign- ment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. l. Sjogren’s syndrome. When chronic, more than mildly symptomatic and resistant to treatment after a reasonable period of time. m. Progressive systemic sclerosis.
Diffuse and limited disease that interferes with successful performance of duty or requires geographic assignment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. n. Myopathy. To include inflammatory, metabolic or inherited, that interferes with successful performance of duty or requires geographic assignment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. o. Systemic vasculitis.
Involving major organ systems, chronic, that interferes with successful performance of duty or requires geographic assignment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. p. Hypersensitivity angiitis. When chronic or having recurring episodes that are more than mildly symptomatic or show definite evidence of functional impairment which is resistant to treatment after a reasonable period of time. q. Behcet’s syndrome.
That interferes with successful performance of duty or requires geographic assignment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. r. Adult onset Still’s disease. That interferes with successful performance of duty or requires geographic assignment limitations or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. t. Mixed connective tissue disease and other overlap syndromes.
That interfere with successful performance of duty or require geographic assignment limitations or require medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. u. Any chronic or recurrent systemic inflammatory disease or arthritis not listed above. That interferes with successful performance of duty or requires geographic assignment limitations, or requires medication for control that requires frequent monitoring by a physician due to debilitating or serious side effects. 3–41. General and miscellaneous conditions and defects The causes for referral to an MEB are as follows: a. Allergic manifestations.
(1) Allergic rhinitis, chronic, severe, and not responsive to treatment. (See also paras 3–29 d and 3–29 e .) (2) Asthma. (See para 3–27 a .) (3) Allergic dermatoses. (See para 3–38.) b. Cold injury/heat injury. (See paras 3–45 and 3–46.) c. Sleep apnea. Obstructive sleep apnea or sleep-disordered breathing that causes daytime hypersomnolence or snoring that interferes with the sleep of others and that cannot be corrected with medical therapy, nasal continuous positive airway pressure (CPAP), surgery, or an oral appliance. The diagnosis must be based upon a nocturnal polysomnogram and the evaluation of a pulmonologist, neurologist, or a privileged provider with expertise in sleep medicine.
(1) A 12-month trial of therapy with nasal continuous positive air pressure may be attempted to assist with other therapeutic interventions, during which time the individual will be issued a temporary profile. Soldiers with severe sleep apnea and/or symptoms may be referred directly for an MEB. If nasal CPAP is required for longer than 12 months, the Soldiers should be profiled as a permanent P2. (2) If symptoms of hypersomnolence or snoring can not be controlled with medical therapy, nasal CPAP, surgery or an oral appliance, the individual should be referred for a MEB.
If the use of nasal CPAP or other therapies for sleep apneas result in interference with satisfactory performance of duty as substantiated by the individual’s commander or supervisor, the Soldier should be referred to a MEB. d. Fibromyalgia. When severe enough to prevent successful performance of duty. Diagnosis will include evaluation by a rheumatologist. e. Miscellaneous conditions and defects. Conditions and defects not mentioned elsewhere in this chapter are causes for referral to an MEB, if— (1) The conditions (individually or in combination) result in interference with satisfactory performance of duty as substantiated by the individual’s commander or supervisor.
(2) The individual’s health or well-being would be compromised if he or she were to remain in the military service. 35 AR 40–501 • 14 December 2007