I am sorry this reminds you of your brother's illness. I think candybear had a good point about petechiae. When you mentioned the tiny red dots, I thought of that, as it is a symptom of an illness I had a few years back. Also, you might have purpura (explaining the larger red places). That is another symptom of the form of anemia I had. I guess perhaps these are both common through various forms of anemia.

I believe petechiae would be more minor bleeding from capillaries, while purpura is more extensive bleeding into the skin from small blood vessels. I think purpura is considered a type of bruising, but it's more severe than reg. bruising, tends to start out purple or red (although normal bruises may be these color, also) and may look like big bloody spots. It may also happen suddenly, and in the absensce of injury. The petechiae looks like tiny red, purple or blue dots- usually little tiny bloody spots like pin pricks or something. Anyway, sometimes I get petechiae now and am okay blood count wise (sometimes other things cause it), with your symptoms and possible purpura, it sounds like you def. would have low blood counts. It is very important that you see a doctor as this stuff can be really serious. I don't mean to scare you, since you'll prob. be fine if you go get medical assistance. I am simply saying, letting it go can be dangerous, and when it comes to anemia, you can be sicker than you know. I can't say for certain if you'll need a transfusion, but my guess is, considering the purpura and how freely you are bleeding, you might need one.