Manual of the Medical Department (NAVMED P-117): Chapter 15: Medical Examinations: Physical Standards

15-57 Systemic Diseases

Department of the Navy
Bureau of Medicine and Surgery


(1) The causes for rejection are:
(a) Amyloidosis.
(b) Ankylosing spondylitis.
(c) Eosinophilic granuloma, when occurring as a single localized bony lesion and not associated with soft tissue or other involvement, should not be cause for rejection once healing has occurred. All other forms of the histiocytosis X spectrum should be rejected.
(d) Lupus erythematosus, acute, subacute, or chronic.
(e) Mixed connective tissue diseases.
(f) Polymyositis/dermatomyositis complex.
(g) Progressive systemic sclerosis, including calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasis (CREST) variant.
(h) Psoriatic arthritis.
(i) Reiter's disease.
(j) Rheumatoid arthritis.
(k) Rhabdomyolysis, or history thereof.
(l) Sarcoidosis, unless there is substantiated evidence of a complete spontaneous remission of at least 2 year duration.
(m) Sjogren's syndrome.
(n) Vasculitis (Bechet's, Wegener's, Polyarteritis nodosa).