rough patch discolored her shoulder

sobhan

Senior Member
PERSIAN
The skin was pale but clear, the face proportional in all the right ways. Elizabeth knew she was pretty, but a white scar ran across her
stomach where a junkie with a knife had cut her from rib to hip bone, and a rough patch discolored her shoulder where she’d gone down on hard concrete.
What does "rough patch discolored her shoulder where she’d gone down on hard concrete" mean?
Source: Redemption Road
Author: John Hart
 
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