{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:02:32Z","timestamp":1789776152783,"version":"4.0.1"},"reference-count":4,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Acute mesenteric ischaemia is a life-threatening cause of abdominal pain caused by sudden intestinal hypoperfusion. While most cases are related to cardio-embolic events or thrombosis of a pre-existing atherosclerosed vessel in patients with significant cardiovascular risk factors, rarely, it may be the initial manifestation unmasking an underlying systemic vasculitis. We describe a case of polyarteritis nodosa causing mesenteric ischaemia, based on the presence of an inflammatory state and characteristic radiological findings of medium-vessel vasculitis. After treatment with high-dose intravenous corticosteroids and induction of cyclophosphamide therapy, the patient's symptoms resolved, inflammatory markers normalised, and he had stable radiological findings prior to discharge.<\/jats:p>","DOI":"10.1177\/00494755261454456","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T02:28:57Z","timestamp":1779848937000},"page":"787-789","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Gut mayhem at sea: Acute mesenteric ischaemia in a sailor unmasking polyarteritis nodosa"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1843-5948","authenticated-orcid":false,"given":"Isaac KS","family":"Ng","sequence":"first","affiliation":[{"name":"Division of Rheumatology and Allergy, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark IL","family":"Lum","sequence":"additional","affiliation":[{"name":"Division of Rheumatology and Allergy, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson GW","family":"Goh","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An Jian","family":"Leung","sequence":"additional","affiliation":[{"name":"Division of Advanced Internal Medicine, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette","family":"Teo","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjari","family":"Lahiri","sequence":"additional","affiliation":[{"name":"Division of Rheumatology and Allergy, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte SL","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Rheumatology and Allergy, Department of Medicine, National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-10-200905190-00004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1503884"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijms242316668"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.41776"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261454456","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755261454456","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755261454456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:20:57Z","timestamp":1789773657000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755261454456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00494755261454456"],"URL":"https:\/\/doi.org\/10.1177\/00494755261454456","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,26]]}}}