Purpose: To review the history, clinical presentation and management of laryngeal gout as well as presenting the first reported Australian case of laryngeal gout with the aim of improving awareness and understanding of this disease process. Methodology: A literature review and case presentation on laryngeal gout Results: Laryngeal gout is rare with one study quoting that there have been only 29 reported cases in the literature and no reported cases from Australia (1). Due to its rarity and non-specific symptoms, the awareness on laryngeal gout is lacking which can lead to under/delayed/mis- diagnosis. Delayed diagnosis can cause irreversible cartilage damage or airway sequelae. Macroscopically they may appear as submucosal nodules or in extreme cases cartilage erosion/destruction. They can mimic laryngeal neoplasms. Biopsy and histopathology is the gold standard diagnostic investigation for laryngeal gout. Due to its rarity there are no set management guidelines or data on long term outcomes, hence the management is extrapolated from general gout management with diet and lifestyle modifications, urate-lowering therapy and/or surgical excision in cases where there is impairment of laryngeal function or airway compromise (1,2). Conclusion: Laryngeal gout is rare. Clinicians should keep laryngeal gout in their list of differentials apart from carcinoma, atypical infections, polyps, or granulomas when seeing patients with laryngeal nodules. Increased awareness of laryngeal gout is crucial to aid better clinical recognition, earlier diagnosis and treatment. 1.Fu Q, Jing Y, Liu W, Liu L, Xu H. Massive laryngeal gouty tophus: A case report and comprehensive literature review. Otolaryngology Case Reports. 2025. https://doi.org/10.1016/S2468-5488(25)00021-9 2.Zijian He, Jianli Zhang, Jingjia Li & Weixiong Chen (2025) Gouty tophus in the vocal fold: A rare case report, Acta Oto-Laryngologica Case Reports, 10:1, 75-79, DOI: 10.1080/23772484.2025.2503208