Diagnostic Code 7807 · 38 CFR §4.118
DC 7807 covers erythema multiforme and its severe forms, including Stevens-Johnson syndrome and toxic epidermal necrolysis (TEN). These are serious skin reactions often triggered by medications or infections. Erythema multiforme causes distinctive target-shaped skin lesions, while the more severe forms cause widespread skin blistering and detachment that can be life-threatening. Veterans may develop these conditions as reactions to medications prescribed during service, infections acquired during service, or from toxic exposures.
| Rating | Criteria |
|---|---|
| 0% | No episodes during the past 12-month period, OR localized involvement controlled with topical therapy. |
| 10% | Episodes of less than 4 days' duration during the past 12-month period not requiring systemic therapy, OR less than 5% of the body affected. |
| 30% | Episodes lasting 4 or more days during the past 12-month period requiring systemic therapy (corticosteroids, immunosuppressives), OR 5–20% of the body affected. |
| 60% | Generalized involvement covering more than 20% of the body, OR debilitating episodes requiring inpatient care, OR constant/near-constant systemic therapy. |
Medical records documenting episodes including photographs of skin involvement are essential. Records of triggering medications or infections connect the condition to service. Hospitalization records for severe episodes demonstrate the seriousness. Documentation of body surface area involvement during flares supports the rating level. Dermatology records showing the treatment regimen and response help establish the ongoing nature.
Yes. Even a single episode, especially of the severe forms, can be service-connected. The rating will depend on whether the condition recurs and what permanent damage the episode caused. Residual scarring, eye damage, and other lasting effects are rated separately.
They exist on a spectrum of severity. Erythema multiforme minor affects less than 10% of body surface area and is relatively mild. Stevens-Johnson syndrome involves larger areas and mucous membranes. Toxic epidermal necrolysis is the most severe form with extensive skin detachment. All are covered under DC 7807 but the severity affects both the rating and the residual damage.