Hi there, does anyone else get painful fingers and fat looking knuckles. My fingers hurt a lot in the night and become very stiff. Also i,m getting clusters of spots, first itchy ones on trunk and then non itchy ones on face and neck. My diagnosis,about 5 yrs ago,was undifferentiated connective tissue disease but I have seen lupus written in brackets on all my notes so i,m not sure if that means they are expecting it to turn into lupus. Never seem to get a straight answer from rheumatologist and always see someone different. Does anyone know if it's safe to take sleeping pills with hydroxychloroquine as I have so much trouble sleeping due to all the joint pain. Totally knackered all the time. Would be very grateful for any suggestions.