Do you have a positive RF or elevated ANA, CRP, ESR or any other blood work that indicates suspicion of an autoimmune disease? Any persistent Back pain? If so, is it worse in the morning?

One of my diagnoses is spondyloarthropathy. I have axial inflammation in my spine and sacroiliac joint and imaging shows inflammation where tendons attach to bone in my shoulders (seen on xray and ultrasound) and inflammation in my gluteal muscles (seen on an MRI). I am negative for HLAB27 but have positive RF and elevated ESR and CRP. All my other panels including the myositis panel is negative. My symptoms are most improved on immune suppressants. Have any DMARDS or biologic drugs been suggested to address the peripheral spondyloarthritis that was diagnosed?