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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.
Skin Changes From Lupus. You can have skin lupus with or without having full-blown systemic lupus erythematosus (SLE), the most common kind of lupus. Be on the lookout for some of these rashes that can be caused by skin lupus: Butterfly rash: Called a malar rash, this may spread over your nose and cheeks in the shape of a butterfly. The butterfly rash can be just a faint blush or a very severe, scaly rash. The sun's UV rays can trigger it and make it worse. Sores and rashes. Some may be coin-shaped (called discoid lupus). Or you may develop red, scaly patches or a red, ring-shaped rash, especially where your skin gets sun or other UV light. The sores get worse without treatment.