Brief Answer:
Could be streptococcal infection along with Pompholyx.

Detailed Answer:
Hello dear,

Thanks for your question on HCM. I can understand your situation and problem.

I have gone through dermatologist's prescription you attached.
You are having pompholyx which is also known as dyshydrotic eczema.
It is clinical diagnosis and the treatment given by dermatologist is appropriate.
This condition can sometimes associated with Streptococcal infection.

And this streptococcal infection can cause sinusitis along with pompholyx. So your headache and nose shivering can be due to sinusitis.

Ask your doctor to start penicillin group of antibiotic. It is safe antibiotic and have excellent effect on streptococcus.

You may also start combination of anti inflammatory and painkiller drug. This will helpful in headache, sinusitis and skin inflammation.

Hope I have solved your query.

I will be happy to help you further.

Wish you good health.
Thanks.

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