Is hand eczema a permanent condition?

Not always: If you have hand eczema due to exposure to irritants (dishwater, chemicals, etc) then avoidance of those will resolve your eczema. Cold weather, frequent handwashing, incomplete drying can aggrevate eczema. Sometimes 'eczema' is actually an infection. There are many products available otc as well as prescription. If your dr. Can't help, ask for derm referral.