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How did Rudolf Virchow add loss of function to the signs of inflammation?

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The four cardinal signs of inflammation—redness, heat, swelling, and pain—were originally established in the 1st century CE by the Roman medical writer Aulus Cornelius Celsus.1

In the 19th century, the German pathologist Rudolf Virchow identified a fifth consequence of the inflammatory process: the loss of function of the affected area. Virchow observed that this impairment typically arises from two primary factors: the presence of pain, which inhibits mobility, or severe swelling (edema) that physically prevents movement in the inflamed region.1