How would you approach a patient with GCA who develops necrotizing fasciitis and then flares because they are off of tocilizumab?  

While recurrent necrotizing fasciitis is exceedingly rare, patients with necrotizing fasciitis may be at higher risk for other infections. Therefore, a careful risk/benefit analysis is warranted in such a case, similar to other cases of serious infections in patients on immunosuppression. The specif...