Behçet’s Syndrome and Long-Term Disability Claims

Living with Behçet’s syndrome can be a daily struggle. The unpredictable symptoms and long-term health complications often make it difficult, if not impossible, for individuals to maintain steady employment. If you are unable to work due your condition, you may be eligible for long-term disability (LTD) benefits. This article explains how the condition can affect your ability to work, what medical evidence is needed for a strong claim, and how a long-term disability attorney can help if your claim is denied.

Overview of Behçet’s Syndrome

Behçet’s syndrome, also known as Behçet’s disease, is a rare and chronic inflammatory disorder affecting multiple parts of the body. It is characterized by blood vessel inflammation, caused by vasculitis, which can lead to a wide range of symptoms. The exact cause of Behçet’s syndrome is unknown, but it is believed to involve an autoimmune component in which the body’s immune system attacks healthy tissues by mistake. Genetic and environmental factors may also play a role.

Common symptoms include recurring mouth and genital ulcers, eye inflammation, skin lesions, and joint problems. In severe cases, the disease can affect the brain and nervous system, digestive system, and major blood vessels. Behçet’s disease typically follows a relapsing-remitting pattern, with unpredictable flare-ups and periods of remission.

Functional Limitations

The symptoms of Behçet’s syndrome can vary greatly from person to person, but the condition often leads to significant functional limitations. Chronic pain, fatigue, and joint inflammation can make physical activities challenging. For example:

• An office worker may have difficulty concentrating or using a computer due to frequent headaches or eye inflammation.
• A construction worker may be unable to perform physically demanding tasks due to joint pain or fatigue.
• A teacher might have difficulty managing classroom duties during flare-ups that cause mouth ulcers, fatigue, or cognitive issues.

The unpredictability of flare-ups makes it difficult to maintain consistent work attendance and performance.

Medical Evidence

Supporting a long-term disability claim for Behçet’s syndrome requires detailed medical documentation. Important evidence includes:

• A definitive diagnosis by a rheumatologist or specialist.
• Clinical notes detailing the frequency and severity of flare-ups.
• Results from diagnostic tests such as blood work, imaging studies, or endoscopy (if gastrointestinal involvement is present).
• Treatment records, including medications, therapies, and responses to treatment.
• Residual functional capacity (RFC) forms that describe how symptoms impair daily activities and work capability.

Challenges in Long-Term Disability Claims

Claimants with Behçet’s disease may encounter obstacles when trying to secure long-term disability benefits:

• Insurance carriers may question the severity or legitimacy of symptoms due to their subjective nature.
• Lack of objective tests to measure pain and fatigue can result in claim denial.
• Surveillance or independent medical exams (IMEs) may be used to discredit the claimant’s reported limitations.
• Inconsistencies in medical records or gaps in treatment can also weaken a claim.

RELATED POST: Objective vs. Subjective Evidence in Long-Term Disability Claims

Claiming LTD for Behçet’s Syndrome: A Hypothetical Case Study

Consider Mark, a 45-year-old logistics manager who was diagnosed with Behçet’s syndrome after experiencing severe mouth ulcers, vision problems, and joint pain. Despite receiving ongoing treatment, Mark’s flare-ups became more frequent and debilitating. This forced him to reduce his hours and eventually stop working altogether. He applied for long-term disability benefits, but his claim was denied.

The insurance company argued that his symptoms were not adequately supported by objective medical evidence, despite the fact that his rheumatologist provided detailed notes and treatment history. An independent medical examiner hired by the insurer claimed that Mark was capable of sedentary work. However, the examiner did not address the unpredictability of his condition or its cognitive impact during flare-ups. Frustrated and overwhelmed, Mark sought legal help to appeal the denial and strengthen his case with additional supporting evidence.

Legal Support for Long-Term Disability Denials

An experienced long-term disability attorney can be invaluable when it comes to navigating these challenges. The Ortiz Law Firm can help you gather and present the right medical evidence, address biased reviews, and appeal denied claims. If necessary, we will file a lawsuit to fight for the benefits you deserve. With a focus on LTD claims and a proven track record, we provide personalized support throughout the process.

Get Help with Your Long-Term Disability Claim Today

If your long-term disability claim for Behçet’s syndrome has been denied or terminated, don’t face the appeals process alone. Contact the Ortiz Law Firm online or call us at (888) 321-8131 for a free case review. We represent clients nationwide and are dedicated to helping you secure the benefits you are entitled to. Let us help you navigate the complexities of the appeals process with experience, compassion, and results.