Table 1 Key learning points

1. Gout can present as a mimicker of malignancies (metastasis) and septic arthritis.

2. Gout may affect many different articular and non-articular sites (e.g., musculoskeletal tissues, non-musculoskeletal tissues, and organs) [14].

3. Long-standing gout can present with atypical symptoms.

4. The manifestations of chronic shoulder gout are tophaceous deposits in the rotator cuff, intraosseous tophi in the bone, and tophi in the bursa around the shoulder joint. Gouty arthritis of the shoulder can result in severe erosive lesions of the bone tissues.