How do you approach the concept of spondyloarthritis disease activity "burning out" and no longer requiring immunosuppression?

This is a difficult question to discuss academically, as we will have to accept a definition for “burning out,” which may or may not be synonymous with remission or a state that will support drug-free remission. That being stated, the possibility of spondyloarthritis going into remission (no “inflammatory” symptoms) is more associated with the state the patient resembles the most. In fairness, patients diagnosed with reactive arthritis are far more likely to attain remission in contradistinction to other forms of spondyloarthritis, such as psoriatic arthritis. This is the nature of these disease states, and therefore are more likely to have disease-free status over time. The more challenging distinction exists with axial involvement, where ...