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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: 1  A medicine, such as aspirin or blood thinners (anticoagulants). 2  Infection that causes the buildup of toxin in the blood or tissues (sepsis). 3  A bleeding or clotting disorder, such as hemophilia, von Willebrand's disease, ...
What causes bruising? Impact injuries to soft tissues cause capillaries, small blood vessels under the skin, to break. Red blood cells then leak out of the capillaries and collect under the skin, accounting for the color of the bruise. The color changes in bruises over time signal that healing is in progress and the body is metabolizing the blood cells in the skin. You may bruise more easily as you get older and skin becomes thinner.