Erasmus syndrome is an occupational disease.

Because of the infrequency of this new entity awareness of this diagnosis is important.

In order not to miss silicosis, especially in male patients diagnosed with scleroderma, silica exposure should be questioned.

As stated in our case, Erasmus syndrome can develop even with short-term silica exposure.

Measurements of silica concentration level and use of personal protective equipment against silica particle inhalation are important. And also HRCT is important for diagnosis in patients with interstitial lung disease.