The majority of children with atopic eczema appear to "grow out" of their disease, at least to the point where the condition becomes a problem no longer in need of medical care. A detailed review of prognostic studies reported elsewhere2 concluded that most large studies of well-defined and representative cases suggest that about 60% of childhood cases are clear or free of disease symptoms in early adolescence. However, many such apparently clear cases are likely to recur in adulthood, often as hand eczema. The most consistent factors that appear to predict persistent atopic eczema are early onset, severe widespread disease in infancy, concomitant asthma or hay fever, and a family history of atopic eczema.
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