Evidence mapPaperPMID 41936645Full record

ReviewRheumatology international2026

Stroke in autoimmune rheumatic diseases.

Saltanat K Yerkebayeva, Meirgul I Assylbek, Olena Zimba, Yuliya Fedorchenko, Ahmet Usen

Abstract readReview
In one paragraph

Review in Rheumatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Saltanat K YerkebayevaDepartment of Neurology, Psychiatry, Rehabilitation and Neurosurgery, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.ORCID http://orcid.org/0009-0003-1234-7044
Meirgul I AssylbekDepartment of Neurology, Psychiatry, Rehabilitation and Neurosurgery, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.ORCID http://orcid.org/0000-0003-0338-3281
Olena ZimbaDepartment of Rheumatology, Immunology and Internal Medicine, University Hospital in Kraków, Kraków, Poland.ORCID http://orcid.org/0000-0002-4188-8486
Yuliya FedorchenkoDepartment of Pathophysiology, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.ORCID http://orcid.org/0000-0002-5042-1191
Ahmet UsenDepartment of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, TEM Avrupa Otoyolu Göztepe Çıkışı No: 1, Bagcilar, 34214, Istanbul, Türkiye. ahmetusen1@hotmail.com.ORCID http://orcid.org/0000-0002-2754-1232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke is a major cause of mortality and long-term disability worldwide. Patients with autoimmune rheumatic diseases (ARDs) exhibit a significantly increased risk of both ischemic and hemorrhagic strokes, particularly at younger age. Systemic inflammation, immune-mediated vascular injury, antiphospholipid antibodies, accelerated atherosclerosis, and comorbidities contribute to this elevated cerebrovascular burden. This review aims to comprehensively overview stroke epidemiology, pathophysiological mechanisms, clinical characteristics, prevention strategies, and post-stroke rehabilitation in patients with ARDs. Literature searches were conducted using Medline/PubMed, Scopus, Web of Science, and the Directory of Open Access Journals (DOAJ) databases up to February 1, 2026. Studies evaluating stroke incidence, risk factors, mechanistic pathways, prevention approaches, and rehabilitation in rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, ankylosing spondyloarthritis, systemic vasculitides, and Behçet disease were included. Stroke risk is markedly increased across ARDs, with relative risks ranging from 1.3 to 2.5, depending on disease subtype. Systemic lupus erythematosus and systemic vasculitides confer particularly high cerebrovascular risk, often presenting at younger age and associated with worse functional outcomes. Chronic systemic inflammation, endothelial dysfunction, autoantibody-mediated thrombosis, genetic susceptibility, and accelerated atherosclerosis represent central mechanistic pathways. Certain immunomodulatory therapies may mitigate stroke risk through inflammation control, whereas others require careful cardiovascular risk assessment. Post-stroke recovery may be adversely influenced by persistent inflammatory activity and musculoskeletal comorbidities, underscoring the importance of multidisciplinary management. Early risk stratification, tight control of systemic inflammation, individualized immunomodulatory therapy, and structured rehabilitation strategies are essential to improve cerebrovascular outcomes in ARDs. Future research should focus on personalized risk prediction models and targeted preventive interventions in this high-risk population.

Indexed as

Autoimmune DiseasesRheumatic DiseasesStrokeHumansRisk FactorsStroke, Inflammation, Autoimmunity, Rheumatic Diseases, Atherosclerosis, Thrombosis, Risk Factors

Identifiers

PMID41936645
PMCPMC13050762

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.