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To the Editor:—
On four occasions within the past six months, symptoms have been encountered related to a change in the patient's driving habits. In two patients substernal and precordial pain was traced to the recent acquisition of one of the larger imported sports automobiles with a manually operated gear shift and without power-assisted steering. In two others significant and persistent pain in the left hip and left side of the back was correlated with the use of one of the new small automobiles. In all four patients physical findings were either absent or limited to mild muscle spasm or tenderness in the affected area. Roentgenograms showed no joint or bone lesions, and the electrocardiograms in the patients with chest pain showed normal findings.A feature common to all four patients was the initial tendency for symptoms to develop a day or two after the use of the vehicle involved,
Strauss JF. NEW SYNDROMES AND THE SMALL AUTOMOBILE. JAMA. 1960;173(4):444. doi:10.1001/jama.1960.03020220118023