To add to what Jack said, I continue with the pain in one ankle even though my blood work shows a clinical remission -- however, after a short course of steroids (I don't take them as part of my WG treatment unlike many here) it improved quite a bit and my doc decided to up my mtx, which has really made a world of difference and proved to him (and me) that I not only know my body, but that this symptom was tied to my WG. I quite literally woke up one day with horrible foot pain, that has lasted a year now. I was diagnosed back in January. One thing that aided in my diagnosis and having docs take me very seriously is my saddle nose. Not something they see every day, or really ever. The only other times I have ever seen one (and I live outside of NYC in a city of 40K) was at the Vasculitis Foundation's symposium.
All of this is to simply say that it can take a lot to get to get the meds right to a dose that is effective but not toxic. I agree with Sangye that it's probably less likely that your dormant WG had a trigger and more like that the stuff they are saying that you had (in my case it was asthma) you in fact never had, and it was WG all along.
I will also say that my joint pain disappeared -- completely --- within a month of being on mtx, which was one of the first signs that the drug was working for me.
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