30 December 2025
: Case report 
Beyond CKD-Associated Pruritus: Paraneoplastic Itch Revealing CLL/SLL in ESRD: A Case Report
Unknown etiology, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Clinical situation which can not be reproduced for ethical reasons, Rare coexistence of disease or pathology
Julia Kacperczyk
ADEF 1, Monika Dąbek ABCEF 1, Agnieszka Makówka CD 2, Michał Nowicki AE 2*
DOI: 10.12659/AJCR.949787
Am J Case Rep 2025; 26:e949787
Figure 1 Severe linear excoriations on the patient’s calves, attributed to chronic pruritus. The photograph was taken during the most recent admission in May 2024, at a time when pruritus had slightly decreased. The distribution and morphology of the lesions suggest a secondary etiology, consistent with CKD-aP. The absence of primary dermatologic pathology supports a systemic origin.