“…The hallmark of RDD is often the massive, painless, and bilateral cervical lymphadenopathy, accompanied by fever, leukocytosis, elevated erythrocyte sedimentation rate, and polyclonal hypergammaglobulinemia [4] . While this lymphadenopathy is the most common presentation, RDD can also manifest as an extranodal disease affecting various sites, including the skin, soft tissue, central nervous system, gastrointestinal tract, breast, and sino-nasal region [3] .…”