CASE PRESENTATION: This is a Western patient, male 53-year-old who was admitted because of lower limb intermittent claudication (severe cramping). With a history of syncope 20 years ago, difficulty chewing (weakness of facial muscles), numbness of arms during physical activity, blurred vision that improves during sleep; fatigue, weight loss and night sweats. The patient in this case has clinical features compatible with the TA type I (absence of humeral and radial pulse, low blood pressure in the arms and upper legs and a history of amaurosis fugax and syncope). Blood pressure was identified with brachial-crural dissociation values (80/40 mmHg) in arms (180/100 mmHg) in legs, plus the absence of humeral and radial pulses in both arms and bilateral carotid pulse weak. Fascies that looks older than the actual age.