Skin tone is often a hot social topic. The conversations surrounding  the perceived rights of ‘visible minorities’ has long been a heated one.  However, what if your skin color placed you in a tiny minority? A tiny  and very blue visible minority.
The most famous of the blue people were  the Fugates family. The blue Fugates weren’t a race but rather an  excessively tight-knit family living in the Appalachian Mountains. 
The  patriarch of the clan was Martin Fugate, who settled along the banks of  Troublesome Creek near Hazard, Kentucky, sometime after 1800. His wife,  Mary, is thought to have been a carrier for a rare disease known as  hereditary methemoglobinemia. Methemoglobinemia, in short, is a disease  that causes blood to carry less oxygen which makes the skin of a  Caucasian person display a bluish appearance due to the lack of oxygen. 
It is usually a recessive condition however the Fugate family  intermarried with another clan, the Smith’s, and someone in that family  carried the same recessive gene. Because of the small size of the  community the family continued to inbreed and the family continued to  display the unusual color trait well into the 1960’s.
Researcher Cathy Trost, who compiled the most comprehensive history of the Fugates to date, says:
“The clan kept multiplying. Fugates married other Fugates. Sometimes  they married first cousins. And they married the people who lived  closest to them, the Combses, Smiths, Ritchies, and Stacys. All lived in  isolation from the world, bunched in log cabins up and down the  hollows, and so it was only natural that a boy married the girl next  door, even if she had the same last name.”
And so, after ten generations, from Martin Fugates father, ‘blue’ people roamed the hills of Kentucky.
It was only when researchers investigating Benjy Stacy’s case  discovered a report in the Journal of Clinical Investigation by EM Scott  in 1960 that a cure appeared likely.
The descendants of the Fugates were then tested, and they too lacked  this enzyme. Springing into action, doctors studying the Appalachian  clans considered Scott’s findings and found their own methemoglobin  converter – a dark blue dye called methylene blue.
Trying to convince members of the blue clan to have blue dye injected into them so they would revert to a natural skin tone must have been harder than trying to find the cure, but one couple conceded. Minutes after the methylene blue was administered the blue tinge to the skin was gone.
Since then, it’s thought that all the Fugates and their relations  have been treated – records claim that by 1982 only two of three family  members had methemoglobin. We’re guessing they’ve been sorted by now.
The article pointed to an absence of an enzyme from the red blood cells called diaphorase, which Scott found was lacking in some indigenous Alaskans he had studied previously.
Argyria is an extremely rare condition caused by the ingestion of  elemental silver, silver dust or silver compounds and the most dramatic  effect of argyria is that the skin is colored blue or bluish-grey. The  most famous person with argyria was Captain Fred Walters. 
Walters was  born in England in 1855 and was a captain in the British army before a  degenerative neural condition, locomotor ataxia, prompted his  retirement. Treatment for his condition included the ingestion of silver  and that regular ingestion caused Captain Walters to turn blue. He  subsequently traveled to the United States in 1891 and began a career  exhibiting himself for profit.
As time went on Walters allegedly increased his silver intake in an  attempt to turn himself as blue as possible. For awhile, he was  successful and his deep blue pigmentation resulted in more fame. However  his heart eventually grew weak from the constant poisoning and gave out  on August 20, 1923. 
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