There is an association between silica exposure and Antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV), but few reports of an association between silica exposure and Immunoglobulin A (IgA) nephropathy.

We describe a case of a stonemason with hilar lymphadenopathy due to silica exposure, ANCA vasculitis and IgA nephropathy.