The Blue Fugates of Kentucky had an extremely rare skin condition called methemoglobinemia, which literally turned their skin blue. Cawein had just started work at the University of Kentucky’s Lexington medical clinic. They eventually passed their unique characteristic from generation to generation, remaining largely isolated from the outside world. The blue people of Troublesome Creek had methemoglobinemia, a metabolic condition affecting hemoglobin, the four-part protein that carries oxygen bound to an iron atom at each subunit’s core. Thereby causing the blue people begin to disappearing. If a good friend of usually normal… There is no official record documenting that Martin was actually blue, but he and his wife both carried a recessive gene that gave their son Zachariah Fugate a startling blue color. The Fugates, a family that lived in the hills of Kentucky, commonly known as the "Blue Fugates" or the "Blue People of Kentucky", are notable for having been carriers of a genetic trait that led to the blood disorder methemoglobinemia, which causes the appearance of blue-tinged skin. The Blue People of Kentucky Read more about the Blue Fugates of Troublesome Creek (It’s a must read!). Origin of the Blue Fugates Family of Kentucky. The family who continued to live in that area or around Troublesome Creek and Ball Creek came under Cawein’s radar. In 1820, French orphan Martin Fugate and his wife Elizabeth Smith moved onto the banks of Troublesome Creek, a beautiful area in Appalachian Kentucky. Some reports say Martin was not blue but was a carrier of the methemoglobinemia gene. For almost two centuries, the “blue skinned people of the Fugate family” lived in the areas of Troublesome Creek and Ball Creek in the hills of eastern Kentucky. The Fugate family of the Troublesome Creek region of Kentucky is but one example of a genetic disorder, scientifically known as Methemoglobinemia. This condition is a rare blood disorder that occurs when there are excessive amounts of methemoglobin in the blood. The ancestral line began with a French orphan, Martin Fugate… Fugate, an orphan, settled down on a piece of land that had been left for him near Troublesome Creek … Meanwhile, much earlier in 1960, the stories of the blue people of Troublesome Creek caught the attention of a young haematologist Dr. Madison Cawein. The most detailed account, "Blue People of Troublesome Creek," was published in 1982 by the University of Indiana's Cathy Trost. Due to a recessive gene, some members of the Fugate family have a bluish tint to their skin. He published his research on the family in 1964 in the Archives of Internal Medicine and talked about how he tried to treat the family’s condition using methylene blue. 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