There are a lot of arguments on the internet about it, your moral compass usually dictates where you land on it. Personally I think any sexualizing of a child (deliberately or not) is wrong, so the words carry the same meaning.

That said, in anime, it’s often used as a way for a kid to call an adult a pervert or a weirdo, the way kids call strangers names all the time. So there is a difference in tone between “go away weirdo” and “aren’t you that felon who got convicted for CSAM” but arguing the finer points of it doesn’t help your case from a moral ground.

Arguing over drawn vs real is like that joke about a pedophile vs an ephebophile, there is technically a difference, but knowing that and debating it makes you sound like a pedophile.