From last 2 years ,I am feeling ear popping and right nose pain , generally when contact in cold , it cause very severe pain in nose , ear fullness , pain behind ears , have consulted several ent , all of them diagnosed no abnormality in ear , ct scan pns two times , doc told ct scan relatively normal , I observed from last 2 month when ear popping and facial pain start my shoulder and biceps also hurts , I consulted with a rheumatologist he advised to test ANCA , the test is normal , but steriod gives me relief it want to know it can be due to ANCA