What is the implication of normal c-anca and normal p-anca but elevated atypical panca (1:60)?

How do you FEEL?: These labs are tricky to do. If you have symptoms or signs of small-vessel polyarteritis or Wegener's ("pathergic granulomatous angiitis"), this might be enough to warrant starting treatment -- if missed, they're lethal. If this is part of an ulcerative colitis or other workup, it's just data your physician will take into account. Has anything been biopsied yet?