Although no significant differences were observed in age, sex, RNF 213 p.Arg4810Lys variant, Suzuki grade, PCA involvement, and comorbidities (hypertension, diabetes, dyslipidemia, thyroid disease, and ischemic heart disease), differences in PA score, PA positivity, and higher PA were statistically significant (P = 0.003, P = 0.026, and P < 0.001, respectively). This evidence concerns the gene TRIM31 and metabolic syndrome.