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In men, the primary syphilitic chancre is typically localized to the penile glans, however, may be found elswhere on the penis or pubis. At times the anus and/or rectum may be the site of primary infection. The chancre may also be found on the lips, tongue, tonsils, fingers…any site which may have come into contact with and infectious lesion. It is important to note that seeing as that the primary lesion is typically painless, it may be missed or ignored…particularly if it is in an out of view location (anus, rectum or back of the throat).