For just $x,y$ and $x+1,y+1$ one can take \[x=2(2^r-1)\] and \[y = x(x+2).\] Erdős also asked whether there are any other examples. Makowski [Ma68] observed that $x=75$ and $y=1215$ is another example, since \[75 = 3\cdot 5^2 \textrm{ and }1215 = 3^5\cdot 5\] while \[76 = 2^2\cdot 19\textrm{ and }1216 = 2^6\cdot 19.\] (This example was also recently found independently by Matthew Bolan.) No other examples are known. This sequence is listed as A343101 at the OEIS.
Shorey and Tijdeman [ShTi16] have shown that, assuming a strong form of the $abc$ conjecture due to Baker, then the answer to the original problem is no.
See also [677].