I was diagnosed with limited/non-severe GPA several years ago. I have been in a drug free remission for months and mostly feeling well. My symptoms have mostly been limited to annoying sinus/nasal and ear issues, which range from very mild to pretty bad. I treat with generic flonase, and generic claritin and nasal rinses. But, I have had some troubling symptoms lately that could be GPA related, but could easily be something else, for example an unusual amount of joint pain that comes and goes. Anyway, my question for the group is: has anyone had limited disease like mine that has later spread to other body parts, like lungs or kidneys? My understanding is that this would be unusual after successful induction of remission?