STRUCTURAL OR FUNCTIONAL DISORDERS OF THE ADRENAL MEDULLA
Pheochromocytoma—Permanent impairment from the pheochromocytoma may be classified using the following table.
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Severity of Pheochromocytoma
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% Impairment of the Whole Person
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Minimal, as when the duration of hypertension has not led to cardiovascular disease and a benign tumor can be removed surgically
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1—10
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Moderate, as with inoperable malignant pheochromocytomas, if signs and symptoms of catecholamine excess can be controlled with blocking agents
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11—50
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Severe, as with widely metastatic malignant pheochromocytomas, in which symptoms of catecholamine excess cannot be controlled
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51—90
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STRUCTURAL OR FUNCTIONAL DISORDERS OF THE ENDOCRINE PANCREAS (ISLETS OF LANGERHANS)
Diabetes Mellitu Criteria for evaluating permanent impairment related to diabetes mellitus are as follows.
Class 1. Impairment of the Whole Person, 1—5%
A person with diabetes mellitus belongs in Class 1 if he or she has noninsulin dependent (Type II) diabetes mellitus that can be controlled by diet; the person may or may not have evidence of diabetic microangiopathy, as indicated by the presence of retinopathy and/or albuminuria greater than 30 mg/i 00 ml.
Class 2. Impairment of the Whole Person, 6—14%
A patient belongs in this classification when there is diagnosis of noninsulin dependent
(Type II) diabetes mellitus; and when satisfactory control of the plasma glucose requires both a restricted diet and hypoglycemic medication, either an oral agent or insulin. Evidence of microangiopathy, as indicated by retinopathy or by albuminuria of greater than 30 mg/i 00 ml, may or may not be present.
Class 3. Impairment of the Whole Person, 15—24%
A patient belongs in this class when insulin dependent (Type I ) diabetes mellitus is present with or without evidence of microangiopathy.
Class 4. Impairment of the Whole Person, 25—40%
A patient belongs in Class 4 when the patient has the diagnosis of insulin dependent (Type I) diabetes mellitus and when hyperglycemic and/or hypoglycemic episodes occur frequently in spite of conscientious efforts of both the patient and his or her physician.
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