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This systematic review aimed to evaluate the epidemiology, comorbidities and treatment outcomes in patients with GGA, synthesising evidence from published studies to provide insights into both conventional and emerging therapeutic strategies. A systematic literature search was conducted in CENTRAL, Embase and PubMed, following PRISMA guidelines. Studies published in English, French or Spanish up to January 15, 2024, were included. Data extraction focused on patient demographics, comorbidities, treatment regimens and therapeutic outcomes. A total of 689 patients were included. The mean age of patients was 52.8\u2009years, with a female predominance (72.6%). Based on this systematic review, we propose a stepwise approach: first\u2010line treatment includes hydroxychloroquine and phototherapy (PUVA &gt; UVA1\u2009&gt;\u2009nb\u2010UVB). Oral corticosteroids along with high\u2010potency topical steroids or calcineurin inhibitors may be used in extensive or rapidly progressive disease or as bridging therapy pending slower\u2010acting agents. Sulfones are second\u2010line, with oral retinoids (e.g., isotretinoin) as alternatives if contraindicated. For refractory cases, off\u2010label anti\u2010TNF\u2010\u03b1 agents or JAK inhibitors are recommended, with methotrexate or cyclosporine as valid alternatives. This largest systematic review of GGA treatments offers an evidence\u2010based clinical framework. While steroids and phototherapy remain standard, emerging options like JAK inhibitors and biologics show promise for refractory cases. Tailored, multimodal strategies may improve outcomes, though further trials are needed to standardise guidelines.<\/jats:p>","DOI":"10.1111\/ajd.14560","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T08:43:44Z","timestamp":1751273024000},"page":"329-337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Management Strategies for Generalised Granuloma Annulare: A Systematic Review of Current and Emerging Therapies"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4374-802X","authenticated-orcid":false,"given":"Luca","family":"Bettolini","sequence":"first","affiliation":[{"name":"Dermatology Department University of Brescia, ASST Spedali Civili di Brescia  Brescia 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