This article is a case study of a patient who initially attended a minor illness clinic with restless leg syndrome. During the consultation it became obvious that the patient had pica. Pica is an eating disorder where people ingest a non-nutritive substance for at least 1 month. Angela (pseudonym) had been eating one full sheet of sand paper a day. The case study reviews the assessment and management of the patient. The usual management is a multidisciplinary approach to care.