There is a rare type of ichthyosis that is red and scaly called CIE or congenital ichthyosiform erythroderma. The other options to consider are uncommon but can be found in the mnemonic IAC L cDGA ( I Am Coming Late Don't Go Away) standing for Ichthyosis, Acanthosis nigricans, Confluent and Reticulate papillomatosis Langerhans cell histiocytosis, Darier's , Grovers and Acrokeratosis verruciformis) They can all present as Skin Coloured Scaly papules.
Ocassionaly a drug reaction or an internal malignancy can present as an acquired ichthyosis.

