Tonia
                    
                    
                    
                    
                    
                    
                    
                        
                        
                        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.