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Please cite this article as: Singh M, Merwat SK, Fair JH, Duarte AG, Liver transplant recipient with respiratory failure due to pulmonary fibrosis related to telomere disease requiring lung transplantation, Respiratory Medicine Case Reports, https://doi. Abstract Short telomere syndrome (STS) is characterized as multiorgan dysfunction presenting with unexplained cytopenias, cryptogenic cirrhosis and pulmonary fibrosis. We present a liver transplant recipient that gradually developed hypoxicdoi:10.1016/j.rmcr.2021.101443 fatcat:oyhu2shmgjechchn4kgbb6b2um