The mosaic thickens and throws more clot, and the clots drift through the bloodstream into the small capillaries, where they get stuck. The skin develops red spots, called petechiae, which are hemorraghes 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 maculopapular rash. This rash has been likened to tapioca pudding.
Spontaneous rips appear in the skin, and hemorrhagic 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. Your mouth bleeds, and you bleed around your teeth, and you may have hemorrhages from the salivary glands-literally every opening in the body bleeds, no matter how small. The surface of the tongue turns brilliant red and then 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 the black vomit.