The phrase "come out in" typically means to display or exhibit a particular quality or symptom. Some synonyms for this phrase include "manifest," "express," "evoke," and "exhibit." Additionally, other phrases that convey a similar meaning are "reveal itself," "show up," "become apparent," and "emerge." These synonyms can be helpful in avoiding repetitive language and adding variety to written or spoken communication. By using different ways to express the same idea, readers or listeners can gain a deeper understanding of the intended message or concept.