Met with the Rheumy who specializes in vasculitis. She couldn't really explain the high pANCA, besp, since the PR3 and MPO were normal. She ran ANCA blood work and a urine sample.
I told her that I had at least 5 rounds of antibiotics last year which resulted in me getting better for a few weeks, then getting sinus infections back. Finally, after a 2 weeks of antibiotics and prednisone, it cleared up. She said with Wegs, antibiotics don't work. If I get sick again, i should not take prednisone with the antibiotics, so she can see if the antibiotics work. fine, except I reminded her that the sinus infections would not clear up until the doc added prednisone to the mix. So I left confused.
Results in a week. If ok, just follow up with her in September.