Takayasu's arteritis, also called tak, aortic arch syndrome, pulse less disease or occlusive thromboaortopathy is a rare chronic, progressive, autoimmune, idiopathic disease involving inflammation in the walls of the largest arteries in the body: the aorta and its main branches that affect primarily adolescent girls and young women. It most often occurs in people ages 15–40 years, but sometimes affects younger children or middle-aged adults. Here is a case of a young girl diagnosed with takayasu’s arteritis whose initial complaints were predominantly high grade fever and malaise with minimal signs of vascular insufficiency.