Chronic exposure to environmental ultraviolet radiation (UVR) plays a key role both in photocarcinogenesis and induction ofaccelerated skin ageing. Sailors commonly experience a significant number of cutaneous problems, related to the exposure toenvironmental factors due to their working conditions. Among these factors, sun exposure is able to determine both acute andchronic skin damage, mostly linked to the effects of the ultraviolet (UV) radiation on epidermal and dermal structures.We report a case of sailor with cutis rhomboidalis nuchae, solar elastosis, actinic keratosis (AK), numerous squamous cell carcinoma (SCC) and basal cell carcinoma (BCC) of the head and trunk.