The mosaic thickens and throws more clots, and the clots drift through the blodstream into the small capillaries, where they get stuck. The skin develops red spots, called petechiae, which are hemorrhages under the skin. In this way, collagen in the body turns to mush, and the underlayers of the skin die and liquefy. The skin bubbles up into a sea of tiny white blisters mixed with red spots known as a maculopapular rash. This rash has been likened to tapioca pudding.
Spontaneous rips appear in the skin, and hemmoraghic blood pours from the rips.
The red spots on the skin grow and spread and merge to become huge, spontaneous bruises, and the skin goes soft and pulpy, and can tear off if it is touched with any kind of pressure. The surface if the toungue turns brilliant red and the sloughs off, and is swallowed or spat out. It is said to be extraordinarily painful to lose the surface of one's tongue. The tongue's skin may be torn off during rushes of thre black vomit. The back of the throat and the lining of the wind pipe may also slough off, and the dead tissue slides down the windpipe into the lungs or is coughed up with sputum.