I'm only matriculating this year, so take what I saw with a grain of salt. But I'm pretty sure Dr. Serotonin was talking about antigens (dsDNA) being loose in the ECM after lysis instead of the traditional MHC presentation.
As for the p-anca vs c-anca patterns, I don't really know enough about this yet but I thought the cells were fixated using EtOH, essentially insulting the membrane allowing antibodies in? Maybe somebody who is actually in medical school can comment on this train of thought?