Conclusion:
Early recognition is crucial to initiate appropriate treatment promptly and mitigate the long-term morbidity and mortality associated with this rare systemic vasculitis. Takayasu arteritis (TA) can present with a range of clinical symptoms. The initial manifestation of nonspecific symptoms, such as easy fatigue in the upper limbs, can hinder the diagnosis process. This case emphasizes the importance of maintaining a high suspicion for TA, especially among females aged between the second and third decades, who experience prolonged fatigue in bilateralĀ upperĀ limbs.