I think this might fit me, but since I don't have insurance, I can't get to a dermatologist to find out. My icthyosis was diagnosed as Llamelar when I was born but it is not ALL over. MY face is clear (other than zits, lol), my legs other than the back of my knees and the tops of my thighs are clear, my arms have no signs other than in the recess of the elbow a times. My feet and hands get dry and stuff but not in the same pattern. My neck is affected on the sides and back and it's in my scalp and ears. So...is this something anyone else has dealt with? Is it BSI?