Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis

Background/objectivesRecent studies have sought to determine the correlation between atopic dermatitis (AD) and the occurrence of stroke; however, these investigations have not reached a consensus. Consequently, our team conducted this meta-analysis and systematic review to further explore the poten...

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Main Authors: Hong Pan, Qing-Ping Han, Min-Ling Zeng, Fang Wang, Ying Xiong, Bo Wu, Hai-Ying Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1630671/full
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author Hong Pan
Qing-Ping Han
Min-Ling Zeng
Fang Wang
Ying Xiong
Bo Wu
Hai-Ying Yu
author_facet Hong Pan
Qing-Ping Han
Min-Ling Zeng
Fang Wang
Ying Xiong
Bo Wu
Hai-Ying Yu
author_sort Hong Pan
collection DOAJ
description Background/objectivesRecent studies have sought to determine the correlation between atopic dermatitis (AD) and the occurrence of stroke; however, these investigations have not reached a consensus. Consequently, our team conducted this meta-analysis and systematic review to further explore the potential relationship between these two conditions.MethodsA comprehensive literature search was conducted across PubMed, Embase, and Web of Science from their inception until January 2025 to identify observational studies examining the association between atopic dermatitis and stroke risk. Random-effects meta-analyses were performed using the generic inverse variance method, and hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated. Additionally, sensitivity analyses and subgroup analyses were conducted to assess the stability of the results and explore potential sources of heterogeneity.ResultsThis meta-analysis included 12 observational studies, comprising 8 cohort studies, 2 case–control studies, and 3 cross-sectional studies, with a total of 14,517,146 participants. The analysis revealed a significant correlation between AD and the risk of stroke (n = 17, OR = 1.27, 95%CI = 1.14–1.43). Subgroup analyses indicated a particularly strong association among males (n = 3, OR = 1.31, 95% CI = 1.07–1.60) and in the context of ischemic stroke types (n = 5, OR = 1.14 95%CI = 1.00–1.30). Furthermore, sensitivity analyses demonstrated that the results were stable and reliable.ConclusionAD is independently associated with an increased risk of stroke, especially in men, and there is a notable association with ischemic stroke. Moreover, the risk appears to be positively correlated with the severity of AD.Systematic review registrationIdentifier INPLASY202550006.
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spelling doaj-art-cc12afe77f0643fa9cbe8f5274eddb0d2025-08-20T03:25:04ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-07-011610.3389/fneur.2025.16306711630671Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysisHong Pan0Qing-Ping Han1Min-Ling Zeng2Fang Wang3Ying Xiong4Bo Wu5Hai-Ying Yu6Department of Internal Medicine, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Dermatology, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Neurology, The Third Clinical Medical College of China Three Gorges University, Gezhouba Central Hospital of Sinopharm, Yichang, ChinaDepartment of Internal Medicine, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Dermatology, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Dermatology, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaDepartment of Internal Medicine, Shenzhen Maternity and Child Healthcare Hospital, Women and Children’s Medical Center, Southern Medical University, Shenzhen, Guangdong, ChinaBackground/objectivesRecent studies have sought to determine the correlation between atopic dermatitis (AD) and the occurrence of stroke; however, these investigations have not reached a consensus. Consequently, our team conducted this meta-analysis and systematic review to further explore the potential relationship between these two conditions.MethodsA comprehensive literature search was conducted across PubMed, Embase, and Web of Science from their inception until January 2025 to identify observational studies examining the association between atopic dermatitis and stroke risk. Random-effects meta-analyses were performed using the generic inverse variance method, and hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated. Additionally, sensitivity analyses and subgroup analyses were conducted to assess the stability of the results and explore potential sources of heterogeneity.ResultsThis meta-analysis included 12 observational studies, comprising 8 cohort studies, 2 case–control studies, and 3 cross-sectional studies, with a total of 14,517,146 participants. The analysis revealed a significant correlation between AD and the risk of stroke (n = 17, OR = 1.27, 95%CI = 1.14–1.43). Subgroup analyses indicated a particularly strong association among males (n = 3, OR = 1.31, 95% CI = 1.07–1.60) and in the context of ischemic stroke types (n = 5, OR = 1.14 95%CI = 1.00–1.30). Furthermore, sensitivity analyses demonstrated that the results were stable and reliable.ConclusionAD is independently associated with an increased risk of stroke, especially in men, and there is a notable association with ischemic stroke. Moreover, the risk appears to be positively correlated with the severity of AD.Systematic review registrationIdentifier INPLASY202550006.https://www.frontiersin.org/articles/10.3389/fneur.2025.1630671/fullatopic dermatitisstrokemeta-analysisrisksystematic review
spellingShingle Hong Pan
Qing-Ping Han
Min-Ling Zeng
Fang Wang
Ying Xiong
Bo Wu
Hai-Ying Yu
Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
Frontiers in Neurology
atopic dermatitis
stroke
meta-analysis
risk
systematic review
title Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
title_full Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
title_fullStr Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
title_full_unstemmed Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
title_short Association between atopic dermatitis and risk of stroke: a systematic review and meta-analysis
title_sort association between atopic dermatitis and risk of stroke a systematic review and meta analysis
topic atopic dermatitis
stroke
meta-analysis
risk
systematic review
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1630671/full
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