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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.
Could be petechiae. Petechiae is blood leaking into your skin from little capillaries just under your skin. This blood leakage causes tiny red skin dots, little red skin spots or a pinpoint red rash symptoms to appear. Petechia dots routinely emerge in the lower leg region, but you can experience red spot distribution all over. Its red pinpoint rash can materialize very quickly or slowly over time.