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Differential diagnosis The diagnosis of DRESS syndrome remains complex due to a non-specific presentation, and, in children, it is even more challenging due to the numerous potential differential diagnoses, including a high number of infections (EBV, CMV, Parvovirus, Mycoplasma pneumoniae , and Staphylococcal Scalded Skin Syndrome), rheumatologic diseases (Kawasaki disease, systemic onset juvenile idiopathic arthritis, systemic lupus erythematosus), hematologic diseases (macrophage activation syndrome, hematologic malignancies, pseudolymphoma), and dermatological diseases (StevensJohnson syndrome, toxic epidermal necrolysis) (33, 37, 41)

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For example, a public school may not enforce a dress and grooming policy that prohibits boys, and only boys, from wearing nail polish, or imposes rigid restrictions on hair length based on gender

The big question is do you buy the hat first or your outfit