---
title: "DC 7824 - Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma)."
diagnostic_code: "7824"
body_system: "Skin"
cfr_section: "§ 4.118"
canonical: "https://veteranai.co/va-rating-schedule/skin/7824-diseases-of-keratinization-including-icthyoses-dariers"
source: "https://www.ecfr.gov/current/title-38/section-4.118"
updated: "2026-07-21T21:19:34.751037Z"
---

# DC 7824 - Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma).

Rated under § 4.118. Body system: Skin.

General Rating Formula for the Skin

## Rating criteria

| Rating | Criteria |
| --- | --- |
| 60% | At least one of the following |
| 60% | Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period |
| 30% | At least one of the following |
| 10% | At least one of the following |
| 0% | No more than topical therapy required over the past 12-month period and at least one of the following |

# Diseases of Keratinization — VA Disability Rating (Diagnostic Code 7824)

**Skin conditions rated under 38 CFR § 4.118 using the General Rating Formula for the Skin**

## What This Condition Covers

Diagnostic Code 7824 addresses **diseases of keratinization**, a group of skin disorders that affect how the skin forms its protective outer layer. This category includes conditions such as:

- **Ichthyoses**
- **Darier's disease**
- **Palmoplantar keratoderma**

The VA evaluates these conditions under the General Rating Formula for the Skin, found in § 4.118.

## Available Rating Levels

The VA assigns a disability rating for this condition at one of the following levels:

| Rating | What It Reflects |
|--------|------------------|
| **60%** | At least one of the qualifying criteria applies, including **constant or near-constant systemic therapy** over the past 12-month period — such as corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs. |
| **30%** | At least one of the qualifying criteria applies at this level. |
| **10%** | At least one of the qualifying criteria applies at this level. |
| **0%** | **No more than topical therapy** required over the past 12-month period, and at least one of the qualifying criteria applies. |

## What the VA Looks For

When rating diseases of keratinization, the VA focuses on **the type and intensity of treatment** the condition has required over the past 12-month period. Key factors include:

- **Type of therapy used** — for example, whether treatment was limited to **topical therapy** (associated with the 0% level) or required **systemic therapy** (associated with the 60% level).
- **How consistently systemic therapy was needed** — the 60% level reflects **constant or near-constant** systemic treatment over the past 12 months.
- **Which systemic treatments were involved** — the formula specifically references corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, and other immunosuppressive drugs, among others.

*This information is drawn from the VA rating schedule under Diagnostic Code 7824. It describes the rating framework only and is not a prediction of any individual outcome.*

Source: https://www.ecfr.gov/current/title-38/section-4.118