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There is yet no complete standardization of the method and it is only available in research centers.15,24,65 Recently, the use of cytokines or stimulation of toll-Like receptors (TLR) has been attempted to increase the sensitivity and specificity of these tests.65 Differential diagnoses Typical forms of DRESS with morbilliform eruption, lymphadenopathy, fever and eosinophilia that begin weeks after starting a medication do not cause diagnostic difficulties