Your initial concerns include:
This may represent an early form of ANCA associated vasculitis (AAV) IFA is always much more sensitive than EIA
This is likely a ANCA associated form of vasculitis regardless of the negative EIA as a positive test has a specificity of 95-99%
This should be regarded a negative test for AAV for as only tests that are both + by IFA and confirmed by an antigenically specific test for PR3 or MPO should be considered positive
A positive pANCA is commonly caused by ANA activity in serum
choices 3 & 4
Vote
View Results
See this poll on:
https://poll.fm/5573122/embed