Solmaz D, et al. - One hundred and twenty patients with a diagnosed axial SpA were recruited by the experts in order to recognize whether psoriasis had disease-modifying impacts on disease features and/or severity of enthesitis and spine disease in axSpA. Out of 120 individuals, 62 were listed as ankylosing spondylitis and 31 with psoriasis. In addition to longer disease duration and male gender, entheseal damage was considered as an independent and the most powerful predictor for spinal damage, except psoriasis. Further, psoriasis was discovered as an independent risk factor to raise the entheseal damage, in addition to age, male gender, modified Ankylosing Spondylitis Spine Score, and body mass index for enthesitis, however, not entheseal inflammation when corrected for HLA-B27. Therefore, to increase the severity of entheseal damage and not spinal damage, psoriasis was observed as an independent risk factor. Furthermore, regardless of the subtypes of SpA, peripheral enthesitis could forecast spinal damage.