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Ruptures can also occur spontaneously due to veins being overstretched as a result of excess pressure because of obesity or high blood pressure, or some other condition that cause the vein cell structure to weaken to the extent that the vein walls fail.
It is a form of panniculitis caused by a long standing varicose vein that causes pooling of blood in the legs. The impure blood that gets pooled in the legs contains chemicals that cause damage to the fatty tissue and the skin over the leg.