This picture of a 69-year-old trucker in The New England Journal of Medicine is striking. You can clearly see the effects of his 28-year career behind the wheel, with each wrinkle plotted out across his skin like a road map. The left side of his face got this way due to sun exposure, what those dermatologists who read NEJM call dermatoheliosis, a "thickening and wrinkling of the skin."

But what's really surprising is to see the full image of both sides of his face, and just how different the right side looks. Since UVA rays pass through window glass, those long hours in the saddle led to enough sun exposure to cause the more pronounced skin damage, according to the report.

Northwestern University dermatologist Jennifer Gordon, who is treating the man, told Fox News that he didn't wear sunscreen. Fortunately, the man has not yet developed skin cancer, according to the report. To keep yourself from winding up with similar skin damage, the American Academy of Dermatology suggests using sunscreen with at least an SPF 30 rating. And to this trucker, might we suggest considering evening out his skin's fortunes behind the wheel of a big rig in Australia?

Click here to see the full image at The New England Journal of Medicine website.


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    • 1 Second Ago
  • 43 Comments
      Tuan V Bui
      • 2 Years Ago
      2 word WINDOW TINT =)
      Paul
      • 2 Years Ago
      hang this up at the tanning salons
      ryanandrewmartin
      • 2 Years Ago
      My dads been trucking more than my entire life(I'm 31). His left arm looks like he pulled the pin on a grenade and held on to it. It's all scabs and random bleeding. Lightly brushing up against anything pulls skin right off. It's ok though, I'm pretty sure those lungs will be home to cancer before his skin is.
        ryanandrewmartin
        • 2 Years Ago
        @ryanandrewmartin
        Sounds like smack but I love that man. It still boggles my mind that at one point in my life he was the most powerful, most indestructible man I have ever come across. My how things change as you grow older.
      Ducman69
      • 2 Years Ago
      And this is why I wish they would appeal the stupid laws regarding tint on the side glass, and just require passengers to roll down their windows when pulled over by a cop or open their door if the mechanism is broken. Front UV tint should also be permitted, although obviously not dark tint for night safety. All UV protecting tints wear out, including the factory tint, and a windshield replacement every few years is not economically viable. And we know it wears out, as most older cars develop dash fading or cracking despite advances in plastics.
      Agilis
      • 2 Years Ago
      Modern day health & medicine is much different than the days this person grew up in. You can pretty much bank on the fact it's related to sun exposure. But you can also bank on the fact that sun screens back then were not nearly as efficient or as readily available as they are modern today. Combine that with a unhealthy life style, including diet, and you end up with skin that just cannot repair itself and recipe for all kinds of health problems.
      Worx2749
      • 2 Years Ago
      You should see this guy's left arm! Seriously, that's amazing. Hope he makes out OK.
      AndreNeves
      • 2 Years Ago
      I saw this a couple of days ago. I still find it hard to believe that the sun was the only cause of that. Call me a skeptic, but I am usually very reluctant to believe things that come out of these medical journals since they all have a history of instances where they were used as propaganda for pharmaceutical companies. I see these as mere "advertisements".
        HollywoodF1
        • 2 Years Ago
        @AndreNeves
        You are right to be skeptical. I can attest that there are medical journals, then there are respected medical journals. The NEJM is the latter. And as an added check, try to determine who might benefit from this. This is not a person who used a product, this is someone who was unilaterally irradiated with UV. It makes for a great case study.
        AndreNeves
        • 2 Years Ago
        @AndreNeves
        BTW...I really like how the day this article was released it was on the front page of every major news site for a good length of time. Yahoo had it on their front page for a whole day in the featured article section. Everyone knows Yahoo is a propaganda machine. That should tell you something. The only articles that don't make it to the front page are the ones that aren't trying to sell you something.
          John S
          • 2 Years Ago
          @AndreNeves
          I think you're looking for a conspiracy theory that isn't there. Not to shill for any sunscreen mgfr, but I war a daily moisturizer with sunscreen. I'm 42 and most people think I'm 35.
        Rob J
        • 2 Years Ago
        @AndreNeves
        Yes. Sunscreen, like toothpaste, is just a tremendous scam to screw you out of all your money.
          Andre Neves
          • 2 Years Ago
          @Rob J
          Rob, you're obviously the type of person who doesn't like to question anything and likes drinking the Kool-aid. Let me ask you something. Do you know why Marijuana is illegal? Hint: It's not because it's a dangerous(perceived) drug. I'm not saying sunscreen is "bad". But if you want to get into it, Vitamin D can actually be very beneficial to your health(in quantities). Not getting adequate amounts of sunlight can be detrimental(and that's where big pharma comes in $$$) to your health. http://www.medicalnewstoday.com/articles/161618.php Of course, too much of it can be harmful. There are natural ways of combating this. Though, as you can see below, these medical journals look down upon those methods of course(duh). http://onlinelibrary.wiley.com/doi/10.1046/j.1467-2494.1998.171749.x/abstract
          Andre Neves
          • 2 Years Ago
          @Rob J
          http://en.wikipedia.org/wiki/Potential_health_risks_of_sunscreen
          k_m94
          • 2 Years Ago
          @Rob J
          I like healthy skin and teeth, they can take my money if it takes that.
        PatrickEB
        • 2 Years Ago
        @AndreNeves
        1. I've side of face is always getting more exposure to the sun (wind etc) than the other simply because it is closer to the window. 2. The evidence for damage to the skin through sun exposure is inarguable (conspiracy paranoia aside). This has been proven time and again in Australia for instance. 3. Please link to evidence of this 'propaganda'. Your argument goes like this "the brakes on my car didn't work once. Therefore they are always likely to fail. Some research was wrong once, therefore it is all wrong."
        Bruce Lee
        • 2 Years Ago
        @AndreNeves
        Are you serious? Go to any dermatologist's office and you'll see people with exactly these same problems, it's not uncommon at all, it's just weird here because it's only on one side since he was a truck driver. Quit being an idiot, even if you're not a doctor go find your elderly family members and ask them to show you the skin on their belly or something and compare it to the skin on their forearms, it's ridiculously obvious how different the areas are once you're 70.
        Andre Neves
        • 2 Years Ago
        @AndreNeves
        Ok, listen. I didn't want this to turn into a whole "Conspiracy theory" issue. I just don't believe it. It's seems like propaganda. It appears that this site though is full of sheep.
          boardin85
          • 2 Years Ago
          @Andre Neves
          So let me get this straight: People who form their opinions based on science and documented studies = sheep Guy who forms his opinion based on a hunch with absolutely no supporting evidence for said hunch = enlightened? I believe that food does not sustain the human body, it's just a scam to get us to buy food. It just feels true. But go ahead and keep eating, sheep!
          johnbravo6
          • 2 Years Ago
          @Andre Neves
          Oh, and the studies where vitamin D prevents infections, viruses, and cancer? Studies can be made to produce any effect you want. Don't be asinine. Clearly there IS a reason yet another anti-sun story is making headlines. It's not because they care. This article even basically copped, yeah it's mostly UVB that causes cancer, but what the hell we're gonna say UVA does, too.
          ishmaelcrowley
          • 2 Years Ago
          @Andre Neves
          This is a site where people spend more money than they have to buy expensive cars that they can't afford to impress people they don't know. And as Maxwell Smart would say, " and loving it!"
        k_m94
        • 2 Years Ago
        @AndreNeves
        The point is, the left side of his face is so much worse off than the right. Sure, all the other factors (diet, aging, toxins, etc) can cause similar damage, but why all on the one side of the face that coincidentally gets cooked by sunlight many hours a day through a truck window?
          Rob J
          • 2 Years Ago
          @k_m94
          "Assuming that for some reason he always drove with the sun on the left side of his face(how does that work? What kind of route is that lol?)" Really? I mean REALLY? Do you REALLY not get it? You drive on the left side of the vehicle, you have a shadow on the right side from, you know, the inside of your truck. And you don't need direct sun light to damage skin, reflection of foliage, sand, snow and water all reflect the sun into your face. Have you ever gone on a road trip while wearing sunglasses? You end up with a wicked tan line on one side but not the other. Same thing, only over 30 years. Either way, take off the tinfoil hat and think about things before you post.
          PeterScott
          • 2 Years Ago
          @k_m94
          @ "drove with the sun on the left side of his face(how does that work?" That seems like a fairly clueless statement. His Truck is Left hand drive all the time. The left side of his face is inches from a window, the right side of his face is several feet from the right hand window. Likely he drove with the window open a lot as well. Getting much more sun on the left. Skin Cancers appear more frequent on the Left hand side of the body because of driving: http://www.truckinginfo.com/news/news-detail.asp?news_id=71163
          AndrewH
          • 2 Years Ago
          @k_m94
          AndreNeves, it's not that he always drove with the sun on the one side of his face. It's that the area of exposure is much greater on one side, what with the window and all that. If we assume more or less equal exposure on all sides for the vehicle, it follows that the side of the face with a window next to it will tend to receive a lot more direct sunlight than the side that would receive only via the windshield and almost flat-angled through the passenger's side window.
          AndrewH
          • 2 Years Ago
          @k_m94
          Well of course they'd say that, PeterScott. Don't you know that the heavy trucking industry is in the pay of Big Sunscreen? ;-)
        jvshenderson
        • 2 Years Ago
        @AndreNeves
        So Andre, if you think medical journals are propaganda, where do you want your doctor to get his information?
      wsbfan
      • 2 Years Ago
      Why don't all the old people living in the Carribean and working outside all day, have completely wrinked heads? Because the sun is not bad for you.
        axiomatik
        • 2 Years Ago
        @wsbfan
        You ever see an older woman who has sunbathed all her life? *shudder*
        Nathan
        • 2 Years Ago
        @wsbfan
        Cause the Sun is prejudiced against White people??
        Bruce Lee
        • 2 Years Ago
        @wsbfan
        Because they're mostly not white and the people who are white are wearing a crapload of sunscreen. It's actually really obvious which parts of your body were in the sun when you were younger once you get past a certain age, all the 60 and 70 year olds who have wrinkly necks and faces usually have really smooth skin in the covered parts of their body unless they were sun tanning enthusiasts. Conversely, all the people who were body guards at the beach end up with really horrible looking skin even by 40 or 50. This mostly applies to light skinned folks though, people with dark skin have much better sun resistance.
      • 2 Years Ago
      [blocked]
      donnieorama
      • 2 Years Ago
      That's not all trucking can do to a guy (or gal)--40 yrs of trucking has left a buddy's dad with knee problems, back problems, you name it...and I'll bet the 'goofballs' he took to stay awake on the road didn't help, either. Truckers are real men.
      brucec039
      • 2 Years Ago
      That's terrible. Imagine that. Getting wrinkles when you're 70. I call possible BS on this. 1. Who never goes outside otherwise? 2. Who drives so much when they're always having the sunlight hit their left side only? 3. That amount of sunlight on you would be annoying and the driver would use a visor. 4. What about genetics? Is this guy unusually succeptible to sunlight damage? 5. You'd think the constant sunburn on half his face (required for such damage) would have been noticed and the problem fixed.
      Dirty_chicane
      • 2 Years Ago
      So......all of us lifelong sunshine state ( Miami in my case) residents should look just like this! But we don't and who has met a trucker who looks like this?
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