RT Journal Article SR Electronic T1 Acute graft-versus-host disease following lung transplantation in a patient with a novel TERT mutation JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 489 OP 492 DO 10.1136/thoraxjnl-2017-211121 VO 73 IS 5 A1 Jonathan R Brestoff A1 Alexandre T Vessoni A1 Kirsten A Brenner A1 Geoffrey L Uy A1 John F DiPersio A1 Morey Blinder A1 Chad A Witt A1 Derek E Byers A1 Ramsey R Hachem A1 Elbert P Truclock A1 Dayna S Early A1 Milan J Anadkat A1 Amy Musiek A1 Cylen Javidan-Nejad A1 Dennis M Balfe A1 Ilana S Rosman A1 Chang Liu A1 Lingxin Zhang A1 George J Despotis A1 Marianna B Ruzinova A1 Jennifer K Sehn A1 Ina Amarillo A1 Jonathan W Heusel A1 Wojcieh Swat A1 Brian S Kim A1 Lukas D Wartman A1 Roger D Yusen A1 Luis F Z Batista YR 2018 UL http://thorax.bmj.com/content/73/5/489.abstract AB Familial pulmonary fibrosis is associated with loss-of-function mutations in telomerase reverse transcriptase (TERT) and short telomeres. Interstitial lung diseases have become the leading indication for lung transplantation in the USA, and recent data indicate that pathogenic mutations in telomerase may cause unfavourable outcomes following lung transplantation. Although a rare occurrence, solid organ transplant recipients who develop acute graft-versus-host disease (GVHD) have very poor survival. This case report describes the detection of a novel mutation in TERT in a patient who had lung transplantation for familial pulmonary fibrosis and died from complications of acute GVHD.