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Swelling or puffiness of the hands. Swelling is another typical early symptom of scleroderma, and this may be especially noticeable upon waking up in the morning due to muscle inactivity at night. The skin of the fingers may look full and sausage-like, making it difficult to close the hand into a fist.
Quick Answer. Finger swelling in the morning can result from edema, inflammation and rheumatoid arthritis, according to doctors Madhu Kandarpa and John Goldman for HealthTap. Osteoarthritis is another potential cause, according to WebMD.