Previous studies have linked psoriasis to several autoimmune disorders. One of the reasons for PsA misdiagnosis is a lack of psoriasis symptoms. Metabolic syndrome affects patients with psoriatic arthritis and rheumatoid arthritis differently. Researchers noted that approximately 47% of patients with SpA reported abnormal sleep behavior Researchers hypothesized that NSAIDs may lead to an inaccurate assessment of inflammation in the sacroiliac joint. Patients with axSpA and PsA often experience diagnostic delays before receiving a correct diagnosis in a rheumatology clinic. Researchers found that Black patients with axSpA were more than two times more likely to have severe inflammation. Prognostic differences between axial PsA and axSpA that may affect patients’ response to available treatments