I understand what you are going through. I have an ANA, Raynaud's, and EBV. I haven't had swollen fingers yet, or any skin changes. I am a former Nutritionist, on disability due to the pain and fatigue. I am trying Chinese Herbal Therapy for the gammet of problems. It is helping with the Raynauds already after only 3 days of tea. You may want to look into this. I still take a few meds, like Isoptin s/r in the morning for Raynaud's and doxepin at night to help me sleep, but other than that I am going au natural, as mainstream medicine hasn't helped me in over 7 years.