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The vessels break open and blood pools under the skin. To determine if a rash is a skin bleed, follow these steps: 1  Use a clear glass (such as a small juice glass). If a safe, clear glass is not available, use your finger.  Gently press the glass (or your finger) against one of the red dots on the skin.
They are tiny, flat, red or purple spots in the skin, but they are different than the tiny, flat, red spots or birthmarks (hemangiomas) that are present all the time. Sudden unexplained bruising or blood spots under the skin or a sudden increase in the frequency of bruising may be caused by: A medicine, such as aspirin or blood thinners (anticoagulants). Infection that causes the buildup of toxin in the blood or tissues .