About 40% of patients with rheumatoid arthritis show extra-articular manifestations. Thepresence of rheumatoid nodules is the most common extra-articular manifestation, which iscommonly seen at pressure points. Rheumatoid nodules can also occur in the lung, heart, andlarynx. Laryngeal rheumatoid nodules may lead to phonatory and respiratory symptoms andcan be mistaken for other medical conditions such as inflammation and neoplasm. Recently,we encountered a case of rheumatoid nodules involving the larynx in a 56-year-old womanwith a 3-year history of rheumatoid arthritis and Sjogren’s syndrome. Herein, we report thecase with a review of the literature.