The spelling of "break out with" can be a bit confusing due to the presence of the preposition "with". However, when pronounced, "break out" and "with" are clearly separate words. "Break out" is pronounced /breɪk aʊt/, while "with" is pronounced /wɪð/, with a voiced dental fricative at the end. Therefore, the spelling of "break out with" simply combines the spellings of each individual word and does not require any additional letters or changes.
To "break out with" is a phrasal verb typically used to express the sudden appearance or outbreak of something on one's body, particularly referring to skin issues such as rashes, pimples, hives, or other visible irritations. This term is commonly employed to depict the onset or sudden manifestation of a skin condition, often unwanted or unexpected.
When a person "breaks out with" a particular skin problem, it means that they experience the sudden appearance or outbreak of that specific issue. For instance, one might say, "I broke out with hives after eating peanuts," to indicate the sudden appearance of hives on their body as an allergic reaction to peanuts.
The phrase can also be used metaphorically to depict the abrupt occurrence or prevalence of non-physical entities such as emotions, reactions, or actions. For example, someone might say, "He broke out with laughter," implying that he suddenly burst into laughter in an uncontrollable manner.
Overall, the term "break out with" is mainly employed to describe the sudden emergence or outbreak of physical or non-physical manifestations, particularly focusing on the appearance of skin conditions or the sudden occurrence of emotions, reactions, or actions.