{"page":"https://casescribe.ai/explorer/conditions/psoriasis","generated_at":"2026-10-03T18:29:11.487Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Psoriasis","all_conditions_granted_pct":19.4,"decisions":1246,"years":"2017-2026","granted_pct":17.7,"denied_pct":27.8,"remanded_pct":52.9,"granted_on_merits_pct":38.9,"by_year":[{"year":2017,"issues":88,"granted_pct":17,"denied_pct":20.5,"remanded_pct":48.9},{"year":2018,"issues":161,"granted_pct":12.4,"denied_pct":32.9,"remanded_pct":49.7},{"year":2019,"issues":141,"granted_pct":13.5,"denied_pct":30.5,"remanded_pct":53.2},{"year":2020,"issues":153,"granted_pct":11.8,"denied_pct":30.1,"remanded_pct":56.9},{"year":2021,"issues":153,"granted_pct":14.4,"denied_pct":28.8,"remanded_pct":55.6},{"year":2022,"issues":109,"granted_pct":24.8,"denied_pct":22,"remanded_pct":50.5},{"year":2023,"issues":143,"granted_pct":19.6,"denied_pct":21,"remanded_pct":58.7},{"year":2024,"issues":161,"granted_pct":19.3,"denied_pct":29.2,"remanded_pct":49.1},{"year":2025,"issues":135,"granted_pct":21.5,"denied_pct":28.9,"remanded_pct":48.1},{"year":2026,"issues":60,"granted_pct":26.7,"denied_pct":26.7,"remanded_pct":41.7}],"benefit_of_doubt_in_grants_pct":69.7,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":157,"granted_pct_with":63.5,"granted_pct_without":33.4},{"evidence":"va_exam_unfavorable","decisions_with":899,"granted_pct_with":36.8,"granted_pct_without":51.9},{"evidence":"nexus_positive","decisions_with":177,"granted_pct_with":70.6,"granted_pct_without":32},{"evidence":"nexus_negative","decisions_with":599,"granted_pct_with":34.7,"granted_pct_without":43.7},{"evidence":"private_opinion","decisions_with":372,"granted_pct_with":51.2,"granted_pct_without":31.7},{"evidence":"treating_physician","decisions_with":84,"granted_pct_with":61.3,"granted_pct_without":36.2},{"evidence":"lay_statement","decisions_with":1004,"granted_pct_with":38.8,"granted_pct_without":39.3},{"evidence":"combat_service","decisions_with":84,"granted_pct_with":45.9,"granted_pct_without":38.4}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":30},{"reason":"service connection established","decisions":4},{"reason":"criteria for service connection met","decisions":3},{"reason":"caused by the service-connected disability","decisions":3},{"reason":"credible assertions of intermittent symptoms since service","decisions":3},{"reason":"va examiner: less likely than not related to service","decisions":2}],"denied":[{"reason":"preponderance of the evidence against the claim","decisions":39},{"reason":"va examiner: less likely than not related to service","decisions":33},{"reason":"no in-service complaints, treatment or diagnosis","decisions":29},{"reason":"already at the maximum schedular rating","decisions":24},{"reason":"service records negative or silent","decisions":19},{"reason":"no current diagnosis","decisions":18}]},"recent_examples":{"granted":[{"case_id":"A26039672","year":2026,"judge":"TANYA SMITH","rationale":"Psoriasis affects >40% of body area.; Constant treatment with topical steroids and biologics.; Reasonable doubt resolved in veteran's favor."},{"case_id":"A26038976","year":2026,"judge":"REBECCA N. POULSON","rationale":"In-service rash and exposure to jet fuel; Private doctor's opinion found competent and credible; VA examiner opinions found conclusory and inadequate"},{"case_id":"A26038419","year":2026,"judge":"PAULETTE VANCE BURTON","rationale":"Private treatment records show daily topical corticosteroid use.; November 2023 VA examination was inadequate due to incorrect factual premise.; Resolving reasonable doubt in veteran's favor, 60% rating warranted."}],"denied":[{"case_id":"A26039672","year":2026,"judge":"TANYA SMITH","rationale":"60% is the maximum schedular rating.; No criteria met for higher evaluation."},{"case_id":"26004977","year":2026,"judge":"DAVID GRATZ","rationale":"Neither Zyrtec nor clobetasol-betamethasone met the criteria for systemic therapy like corticosteroids.; Zyrtec is an antihistamine, not a significant immunosuppressive drug.; Clobetasol-betamethasone is topical, not systemic."},{"case_id":"A26039069","year":2026,"judge":"JENNIFER HWA","rationale":"Psoriasis rated under DC 7816; Less than 5% body involvement; No treatment in past year"}]},"how_va_rates":null,"rules":[]}}