Why does an inflamed area feel warm?

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An inflamed area feels warm primarily due to increased blood flow to the site of injury. Following an initial, brief period of vasoconstriction, the small blood vessels in the affected area undergo vasodilation, which significantly increases the volume of blood circulating through the tissue. This sensation of heat is typically experienced in peripheral parts of the body, such as the skin.123

Additionally, chemical mediators released during the inflammatory process can contribute to a localized rise in temperature at the site of injury. This heat is one of the four cardinal signs of inflammation, a classification first described by the Roman medical writer Aulus Cornelius Celsus in the 1st century CE.12