How would you manage a patient with severe Hurley Stage 3 active, draining, HS who is also currently requiring Rituxan for management of vasculitis?

This case might be best discussed through oral conversation rather than this format, but here it goes.

I try hard NOT to combine a TNFi with Rituxan.

The additive immunosuppression will significantly increase the risk of severe infection to a level that is uncomfortable for me. I have done similar co...